Organization Active NPI

Good Doctor Chiropractic LLC

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1013328301
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60207958 Issued in WA
Legal business name
GOOD DOCTOR CHIROPRACTIC LLC
Practice address
19514 64TH Ave W
Suite B
Lynnwood, WA 98036-5105
Phone
(425) 775-7550
Fax
(425) 775-7551
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Byungsung Kim, D.C.NPI 1447527064
Title
Manager
Phone
(425) 775-7550

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 60207958 WA Primary

Addresses

Primary practice location

19514 64TH Ave W
Suite B
Lynnwood, WA 98036-5105

Mailing address

19514 64TH Ave W
Suite B
Lynnwood, WA 98036-5105
Phone (425) 775-7550

Other names 1

  • Good Doctor Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

19514 64th Ave W
Ste B
Lynnwood, WA 98036
Phone (425) 590-7780

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": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1013328301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19514 64TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365105",
            "telephone_number": "425-775-7550",
            "fax_number": "425-775-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19514 64TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365105",
            "telephone_number": "425-775-7550",
            "fax_number": "425-775-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DOCTOR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BYUNGSUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-775-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60207958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Doctor Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.