Derrol Marvin Sillito, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1192 Issued in WA

Practice address

5511 112TH Ave E
Suite B
Puyallup, WA 98372

Phone

(253) 845-4655

Fax

(253) 845-1052

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1974

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)

Medicare enrollment (NPD)

Enrolled

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.

• Sillito Chiropractic Center, PS

  • Chiropractor
  • Puyallup, WA
  • NPI 1467542274
  Medicare reassignment Care Compare group NPD Authorized official
• Puyallup Chiropractic Clinic

  • Chiropractor
  • Puyalluup, WA
  • NPI 1164599601
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992704910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 112TH AVE E",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98372",
            "telephone_number": "253-845-4655",
            "fax_number": "253-845-1052"
        },
        {
            "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": "98372",
            "telephone_number": "253-845-4655",
            "fax_number": "253-845-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLITO",
        "first_name": "DERROL",
        "middle_name": "MARVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "SI3427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Sienkiewicz, PA-C
• Sifa Home Care LLC
• Preeya Vaneeta Sillan
• Sillito Chiropractic Center, PS
• Daniel Derrol Sillito, D.C.
• Patricia Jennings Siltala, M. S., SLP
• Brittan Silva, DO
• Tracie A Silva, LMP
• Frederick W. Silver, PH.D.
• Haven Silver, MD

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• 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.
• 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.