Organization Active NPI

Kun Chiropractic Inc. P.S.

Doing business as Evergreen Chiropractic Center

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1063618981
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034832 Issued in WA
Legal business name
KUN CHIROPRACTIC INC. P.S.
Doing business as
Evergreen Chiropractic Center
Practice address
1666 E Olive Way
Seattle, WA 98102-5627
Phone
(206) 323-1666
Fax
(206) 323-6639
NPI assigned
Jun 26, 2007
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Russell S Kun, D.C.
Title
President
Phone
(206) 323-1666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC26215 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034832 WA Primary

Addresses

Primary practice location

1666 E Olive Way
Seattle, WA 98102-5627

Mailing address

1666 E Olive Way
Seattle, WA 98102-5627
Phone (206) 323-1666

Other identifiers 1

IdentifierTypeStateIssuer
1487783098OtherWAINDIVIDUAL NPI- RUSSELL KUN D.C.

Other names 1

  • Evergreen Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1063618981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 E OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025627",
            "telephone_number": "206-323-1666",
            "fax_number": "206-323-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025627",
            "telephone_number": "206-323-1666",
            "fax_number": "206-323-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUN CHIROPRACTIC INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "KUN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-323-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26215",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI- RUSSELL KUN D.C.",
            "identifier": "1487783098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2009; 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.