Individual provider Active NPI

Lyle E Ronning, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1881753259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003510 Issued in WA
Practice address
3309 NE 125TH St
Seattle, WA 98125-4518
Phone
(206) 367-4487
Fax
(206) 367-4901
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003510 WA Primary

Addresses

Primary practice location

3309 NE 125TH St
Seattle, WA 98125-4518

Mailing address

11729 24TH Ave NE
Seattle, WA 98125-5213
Phone (206) 367-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000766 WA Practitioner - Chiropractic 6507055928 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3316 NE 125St St
Suite 1
Seattle, WA 98125-4565
Phone (206) 367-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881753259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 24TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255213",
            "telephone_number": "206-367-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 NE 125TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254518",
            "telephone_number": "206-367-4487",
            "fax_number": "206-367-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNING",
        "first_name": "LYLE",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.