Organization Active NPI

Mediart Family Clinic

  • Primary Care Clinic/Center
  • Bellevue, WA
National Provider Identifier
1013185909
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NT00001467 Issued in WA
Legal business name
MEDIART FAMILY CLINIC
Practice address
1530 140TH Ave NE Ste 101
Bellevue, WA 98005-4574
Phone
(425) 233-8254
Fax
(425) 454-7827
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Sooyoung Chun, NDNPI 1275677478
Title
ND
Phone
(425) 233-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NT00001467 WA Primary

Addresses

Primary practice location

1530 140TH Ave NE Ste 101
Bellevue, WA 98005-4574

Mailing address

1530 140TH Ave NE Ste 101
Bellevue, WA 98005-4574
Phone (425) 233-8254

National Provider Directory

National Provider Directory
Tax ID family
Mediart Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1013185909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 140TH AVE NE STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054574",
            "telephone_number": "425-233-8254",
            "fax_number": "425-454-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 140TH AVE NE STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054574",
            "telephone_number": "425-233-8254",
            "fax_number": "425-454-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIART FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "SOOYOUNG",
        "authorized_official_title_or_position": "ND",
        "authorized_official_telephone_number": "425-233-8254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT00001467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.