Kyle Siskar, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61192583 Issued in WA

Practice address

2630 77TH Ave SE Ste 102
Mercer Island, WA 98040-3085

Phone

(206) 946-1192

Fax

(206) 420-5439

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Siskar PLLC

  • Chiropractor
  • Mercer Island, WA
  • NPI 1184493702
  NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1972175826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 127TH PL NE STE 102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727965",
            "telephone_number": "425-488-3411",
            "fax_number": "206-420-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 77TH AVE SE STE 102",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403085",
            "telephone_number": "206-946-1192",
            "fax_number": "206-420-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKAR",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61192583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle G Shilling, DPT
• Kimberly Shim
• Goichi Shiotsu, DDS
• Devon Elizabeth Singh-Barrett, PH.D.
• Siskar PLLC
• Kevin Lawrence Sloan, M.D.
• Laura S. Smith, LAURA S. SMITH, M.S.
• Amy Cathleen Smolinski, ARNP
• Mason Snodgrass, PT
• Soaper LLC

• Chiropractor in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.