Ashley Antonoff, P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60211316 Issued in WA

Legal business name

ASHLEY ANTONOFF, P.S.

Practice address

14777 NE 40TH St
Suite 102
Bellevue, WA 98007-3300

Phone

(425) 883-2543

Fax

(425) 867-1109

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ashley M Antonoff, D.C.NPI 1497053805

Title

President

Phone

(425) 883-2543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 8

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

• Ashley Marlene Antonoff, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1497053805
  Medicare reassignment Care Compare group Authorized official
• Michael W Downey, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1326059486
  Medicare reassignment Care Compare group
• Rhea Claire Campos Bucasas, D.C.

  • Chiropractor
  • Kent, WA
  • NPI 1548554785
  Medicare reassignment NPD
• Mark G Riomondo, D.C.

  • Chiropractor
  • Redmond, WA
  • NPI 1710203930
  Medicare reassignment NPD
• Rondle Bennett, D.C.

  • Chiropractor
  • Oak Harbor, WA
  • NPI 1679614101
  NPD (past)
• Lisa Nicole Fomenoff, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1194735472
  NPD (past)
• Brian Keith O'Neill, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1497006506
  NPD (past)
• Douglas E Sullivan, DC

  • Chiropractor
  • Renton, WA
  • NPI 1104045137
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1821008103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14777 NE 40TH ST",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073300",
            "telephone_number": "425-883-2543",
            "fax_number": "425-867-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14777 NE 40TH ST",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073300",
            "telephone_number": "425-883-2543",
            "fax_number": "425-867-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY ANTONOFF, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "ANTONOFF",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-883-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60211316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.

Verify at the official NPI Registry.