Individual provider Active NPI

Daniel Derrol Sillito, D.C.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1881834802
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60072154 Issued in WA
Practice address
5511 112TH Ave E
Suite B
Puyallup, WA 98372-5903
Phone
(253) 845-4655
Fax
(253) 845-1052
NPI assigned
Mar 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60072154 WA Primary

Addresses

Primary practice location

5511 112TH Ave E
Suite B
Puyallup, WA 98372-5903

Mailing address

14514 81St Ave E
Suite 101
Puyallup, WA 98375-8419
Phone (253) 845-4655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000315 WA Practitioner - Chiropractic 5890843106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sillito Chiropractic Center, PSGroup PAC ID 4688671589, 2 clinicians

Practice addresses (Care Compare)

2908 Meridian Ave E
Suite 101
Edgewood, WA 98371-2191
Phone (253) 845-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60072154WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sillito Chiropractic Center, PS Chiropractor CurrentSince Feb 27, 2009 Accepting new patients

Locations

2908 Meridian Ave E
Ste 101
Edgewood, WA 98371
Phone (253) 318-6570

5511 112th Ave E
#B
Puyallup, WA 98372
Phone (253) 845-4655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1881834802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 81ST AVE E",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758419",
            "telephone_number": "253-845-4655",
            "fax_number": "253-445-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 112TH AVE E",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725903",
            "telephone_number": "253-845-4655",
            "fax_number": "253-845-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLITO",
        "first_name": "DANIEL",
        "middle_name": "DERROL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60072154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.