Active NPI
Michael J Ilyankoff, D.C
- Chiropractor
- Everett, WA
National Provider Identifier
1942224944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003256
- Practice address
- 2003 132ND St SE
Suite E
Everett, WA 98208-7140 - Phone
- (425) 379-6301
- Fax
- (425) 379-5761
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003256 | WA | Primary |
Addresses
Primary practice location
2003 132ND St SE
Suite E
Everett, WA 98208-7140
Mailing address
2003 132ND St SE
Suite E
Everett, WA 98208-7140
Phone (425) 379-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003256 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Chiropractic Corp | Chiropractor | Current | Accepting new patients |
| Momentum Clinic | Chiropractor | Past | Accepting new patients |
| Lake Stevens Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Locations
2003 132nd St SE
Ste E
Everett, WA 98208
Phone (425) 355-1500
Organizations & group practices 3
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.
-
- Chiropractor
- Everett, WA
- NPI 1316136450
-
- Chiropractor
- Lake Stevens, WA
- NPI 1467592741
-
- Chiropractor
- Lake Stevens, WA
- NPI 1336850833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942224944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 132ND ST SE",
"address_2": "SUITE E",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087140",
"telephone_number": "425-379-6301",
"fax_number": "425-379-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 132ND ST SE",
"address_2": "SUITE E",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087140",
"telephone_number": "425-379-6301",
"fax_number": "425-379-5761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYANKOFF",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.