Individual provider Active NPI

Drew Garding Ronchak

  • Chiropractor
  • Kihei, HI
National Provider Identifier
1972152700
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1571-0 Issued in HI
Practice address
30 E Lipoa St
Kihei, HI 96753-5821
Phone
(808) 270-2530
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.06984065 WA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC-1571-0 HI Primary

Addresses

Primary practice location

30 E Lipoa St
Kihei, HI 96753-5821

Mailing address

16810 108TH Ave SE
Renton, WA 98055-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200109002156 WA Practitioner - Chiropractic 6002241585 Reassigns benefits to 1 organization
I20230628004502 HI Practitioner - Chiropractic 6002241585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Issaquah Family Chiropractic, P.S.Group PAC ID 5890883953, 5 clinicians

Practice addresses (Care Compare)

1320 NW Mall St
Suite A2
Issaquah, WA 98027-8964
Phone (425) 557-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR.CH.06984065WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Chiropractic Inc. Chiropractor CurrentSince May 15, 2023 Accepting new patients
Sherwood Family Chiropractic, P.S. Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Issaquah Family Chiropractic, P.S. Chiropractor CurrentSince Dec 4, 2025 Accepting new patients

Locations

1320 NW Mall St
Ste A2
Issaquah, WA 98027
Phone (425) 557-8787

16810 108th Ave SE
Renton, WA 98055
Phone (425) 227-0111

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1972152700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E LIPOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535821",
            "telephone_number": "808-270-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCHAK",
        "first_name": "DREW",
        "middle_name": "GARDING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.06984065",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1571-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.