Active NPI
Conti Chiropractic PLLC
- Chiropractor
- Edgewood, WA
National Provider Identifier
1780032276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CONTI CHIROPRACTIC PLLC
- Practice address
- 3217 Meridian Ave E
Edgewood, WA 98371-2613 - Phone
- (253) 927-5905
- NPI assigned
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald F Conti, D.C.
- Title
- Owner
- Phone
- (253) 927-5905
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3217 Meridian Ave E
Edgewood, WA 98371-2613
Mailing address
3217 Meridian Ave E
Edgewood, WA 98371-2613
Phone (253) 927-5905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8952902 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160707002618 | WA | Part B Supplier - Clinic/Group Practice | 5991097164 |
Receives reassigned benefits from 1 practitioner Practice locations: Edgewood, WA |
National Provider Directory
National Provider DirectoryLocations
3217 Meridian Ave E
Edgewood, WA 98371
Phone (253) 927-5905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sumner, WA
- NPI 1538281563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477526400000",
"number": "1780032276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 MERIDIAN AVE E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983712613",
"telephone_number": "253-927-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 MERIDIAN AVE E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983712613",
"telephone_number": "253-927-5905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTI CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-10-27",
"status": "A",
"authorized_official_last_name": "CONTI",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-927-5905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8952902",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.