Organization Active NPI

Root Chiropractic Clinic Corp.

  • Health Maintenance Organization
  • Renton, WA
National Provider Identifier
1962784579
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
603119501 Issued in WA
Legal business name
ROOT CHIROPRACTIC CLINIC CORP.
Practice address
330 SW 43Rd St
Suite N
Renton, WA 98057-4900
Phone
(425) 442-2600
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Esther Cheng, D.C.
Title
President
Phone
(425) 442-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 603119501 WA Primary

Addresses

Primary practice location

330 SW 43Rd St
Suite N
Renton, WA 98057-4900

Mailing address

330 SW 43Rd St
Suite N
Renton, WA 98057-4900
Phone (425) 442-2600

Other names 1

  • Root Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000891 WA Part B Supplier - Clinic/Group Practice 0042484792 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA; Renton, WA

National Provider Directory

National Provider Directory

Locations

1808 Richards Rd
Ste 106
Bellevue, WA 98005
Phone (425) 531-7488

330 SW 43rd St
Ste K433
Renton, WA 98057

330 SW 43rd St
Ste N
Renton, WA 98057
Phone (425) 251-1910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1962784579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST",
            "address_2": "SUITE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "425-442-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST",
            "address_2": "SUITE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "425-442-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CHIROPRACTIC CLINIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-442-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "603119501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Root Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.