Active NPI
Samantha Ark Chin, DAHM, EAMP, L.AC.
- Acupuncturist
- Seattle, WA
National Provider Identifier
1003352345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60714800
- Practice address
- 509 Olive Way Ste 1358
Seattle, WA 98101-2549 - Phone
- (253) 237-2476
- NPI assigned
- Jan 10, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 60714800 | WA | Primary |
Addresses
Primary practice location
509 Olive Way Ste 1358
Seattle, WA 98101-2549
Mailing address
712 31St Ave S
Seattle, WA 98144-3204
Phone (206) 973-9887
Other practice location 1
3401 Evanston Ave N
Suite A
Seattle, WA 98103-8677
Phone (206) 973-9887
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 |
|---|---|---|---|
| AC 60714800 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003352345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 31ST AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443204",
"telephone_number": "206-973-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1358",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012549",
"telephone_number": "253-237-2476"
}
],
"practiceLocations": [
{
"address_1": "3401 Evanston Ave N",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981038677",
"country_code": "US",
"telephone_number": "206-973-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "SAMANTHA",
"middle_name": "ARK",
"credential": "DAHM, EAMP, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60714800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.