KI CHIROPRACTIC, PLLC
NPI 1306164439
Chiropractor in Seattle, WA
About Ki Chiropractic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KI CHIROPRACTIC, PLLC (NPI 1306164439), doing business as Mangosteen Dreams Intl., Llc, is a healthcare organization registered as a chiropractor in Seattle, Washington and active in the NPI registry since May 2010. The organization lists Connie Amundson, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ki Chiropractic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ki Chiropractic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ki Chiropractic, PLLC's NPI number?
The NPI number for Ki Chiropractic, PLLC is 1306164439. It was assigned to this organization in the NPPES registry on May 13, 2010. The provider was formerly known as Mangosteen Dreams Intl., LLC.
Where is Ki Chiropractic, PLLC located?
Ki Chiropractic, PLLC is located at 12000 15th Ave NE Ste C, Seattle, WA 98125. The listed phone number is (206) 409-9447.
What is Ki Chiropractic, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ki Chiropractic, PLLC enrolled in Medicare?
Yes. Ki Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ki Chiropractic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ki Chiropractic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ki Chiropractic, PLLC was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ki Chiropractic, Pllc · NPI 1306164439
Chiropractor organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since May 13, 2010.
## Identity
- **NPI:** 1306164439 (Entity type: Organization)
- **Enumerated:** May 13, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Connie Amundson, MEMBER
## Practice location
- **Address:** 12000 15TH AVE NE STE C, Seattle, WA 98125-5093
- **Phone:** (206) 409-9447 · **Fax:** (206) 363-1390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1306164439) · Data from the CMS NPPES public registry.