NPIMap

Organization Active NPI

Your Neighborhood Healthcare Center PLLC

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1760628986
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1668 Issued in WA
Legal business name
YOUR NEIGHBORHOOD HEALTHCARE CENTER PLLC
Practice address
4556 Klahanie Dr SE
Issaquah, WA 98029-5812
Phone
(425) 391-5050
Fax
(425) 391-0758
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth D Lichtenwalter, D.C.
Title
Member
Phone
(425) 391-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1668 WA Primary

Addresses

Primary practice location

4556 Klahanie Dr SE
Issaquah, WA 98029-5812

Mailing address

4556 Klahanie Dr SE
Issaquah, WA 98029-5812
Phone (425) 391-5050

Other names 1

  • KLahanie Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4556 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-5050

8026 Douglas Ave SE
Snoqualmie, WA 98065
Phone (425) 396-5570

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1760628986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4556 KLAHANIE DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-391-5050",
            "fax_number": "425-391-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4556 KLAHANIE DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-391-5050",
            "fax_number": "425-391-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NEIGHBORHOOD HEALTHCARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "LICHTENWALTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-391-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KLahanie Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.