Active NPI
Amarjit Kaur Sidhu, D.C.
- Chiropractor
- Bonney Lake, WA
National Provider Identifier
1992993125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3847
- Practice address
- 19102 Hwy 410
Bonney Lake, WA 98391 - Phone
- (253) 863-6378
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3847 | OH | Primary |
Addresses
Primary practice location
19102 Hwy 410
Bonney Lake, WA 98391
Mailing address
16517 NE 43Rd CT
Redmond, WA 98052-5298
Phone (216) 212-6678
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3847 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1992993125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16517 NE 43RD CT",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525298",
"telephone_number": "216-212-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19102 HWY 410",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "98391",
"telephone_number": "253-863-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "AMARJIT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.