Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740676840 Individual Practitioner Female Practitioner

Dr. Kristin Dedeaux , DC

Chiropractor • Mill Creek, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristin Dedeaux, DC is a certified Chiropractor practicing in Mill Creek, WA. With approximately 13 years of clinical experience since graduating from Life Chiropractic College in 2013, Dr. Dedeaux delivers high-quality medical care to the local community at 1700 132ND ST SE.

Dr. Dedeaux is affiliated with Rollette Chiropractic Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1700 132nd St Se
Suite C

Mill Creek, WA 980125309

Telephone 4253381555
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Life Chiropractic College

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mill Creek, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -1.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Mill Creek, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dedeaux (13 Years) 13 Yrs
Mill Creek Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH60545369

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wa License
CH60545369 (WA)

Hospital & Practice Group Affiliations

Rollette Chiropractic Center

2108 Rue Simone, Hammond, LA 704035728

Phone: 9853459504

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1043404031

Doctor of Chiropractic

NPI 1093076358

Licensed Massage Practitioner

NPI 1124384375

Licensed Massage Practitioner

NPI 1174954150
NPI 1265723845

Licensed Massage Practitioner

Lyudmila Babro , LMP

Massage Therapist

NPI 1316030703

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2015

Registered at 1700 132ND ST SE, SUITE C, MILL CREEK, WA 980125309 (Tel: 4253381555)

📍
Updated Business Mailing Address April 15, 2015

Registered at 1700 132ND ST SE, SUITE C, MILL CREEK, WA 980125309 (Tel: 4253381555)

👤
Provider Name / Credentials Updated April 15, 2015

Recorded as KRISTIN DEDEAUX, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Chiropractor (License #CH60545369 in WA)

🟢
Initial NPI Registration & Enumeration April 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740676840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2015
Last Update: April 15, 2015
Sole Proprietor: No

Mailing Address

1700 132nd St Se, Suite C

Mill Creek, WA 980125309

Phone: 4253381555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.