NPIMap

Organization Active NPI

Functional Health Consulting, LLC

  • Sports Physician Chiropractor
  • Seattle, WA
National Provider Identifier
1871801522
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH 60126824 Issued in WA
Legal business name
FUNCTIONAL HEALTH CONSULTING, LLC
Practice address
2014 E Madison St Ste 100
Seattle, WA 98122-2965
Phone
(206) 726-9595
Fax
(206) 320-1468
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kris Akira Sasaki, D.C.
Title
Owner
Phone
(206) 726-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X CH 60126824 WA Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X

Addresses

Primary practice location

2014 E Madison St Ste 100
Seattle, WA 98122-2965

Mailing address

2014 E Madison St Ste 100
Seattle, WA 98122-2965
Phone (206) 726-9595

Other names 1

  • Vida Integrated Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000928 WA Part B Supplier - Clinic/Group Practice 1759560709 Receives reassigned benefits from 41 practitioners
5 other NPIs on this enrollment
Practice locations: Seattle, WA; Renton, WA; Everett, WA; Bellevue, WA; Kirkland, WA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Functional Health Consulting LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871801522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 E MADISON ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222965",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 E MADISON ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222965",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SASAKI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "AKIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-726-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH 60126824",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.