Individual provider Active NPI

Deborah R. Anderson, D.C.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1841340064
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3653 Issued in WA
Practice address
13116 NE 70TH PL
Kirkland, WA 98033-8571
Phone
(425) 576-5433
Fax
(425) 803-5044
NPI assigned
Jan 11, 2007
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003653 WA
Chiropractor 111N00000X DC3653 WA Primary

Addresses

Primary practice location

13116 NE 70TH PL
Kirkland, WA 98033-8571

Mailing address

13116 NE 70TH PL
Kirkland, WA 98033-8571
Phone (425) 576-5433

Other names 1

  • Dr. Deborah R. Anderson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000098 WA Practitioner - Chiropractic 2163564097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003653WAMDChiropractor
DC3653WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Life Chiropractic, P.S. CurrentSince Nov 2, 2015 Accepting new patients

Locations

13116 NE 70th Pl
Kirkland, WA 98033
Phone (425) 576-5433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1841340064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433",
            "fax_number": "425-803-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433",
            "fax_number": "425-803-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DEBORAH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003653",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "DC3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ANDERSON",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.