Active NPI
Hyun Charlie Jo, D.C., AEMP
- Chiropractor
- Everett, WA
National Provider Identifier
1063837995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60435756
- Practice address
- 7404 Evergreen Way Ste a
Everett, WA 98203 - Phone
- (425) 382-2188
- Fax
- (888) 741-1274
- NPI assigned
- Mar 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60812877 | WA | |
| Chiropractor | 111N00000X | CH60435756 | WA | Primary |
Addresses
Primary practice location
7404 Evergreen Way Ste a
Everett, WA 98203
Mailing address
7404 Evergreen Way Ste a
Everett, WA 98203-5683
Phone (425) 382-2188
Other practice location 1
2122 164th St SW Ste 203
Lynnwood, WA 98087-7811
Phone (425) 245-7122
Other practice location 2
12811 8th Ave W Ste A201
Everett, WA 98204-6300
Phone (425) 559-3003
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 |
|---|---|---|---|
| CH60435756 | WA | MD | Chiropractor |
| AC60812877 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Health Center,Inc. | Chiropractor | Past | Accepting new patients |
| Han Sung Health Center Inc | Acupuncturist | Past | Accepting new patients |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lynnwood, WA
- NPI 1174765184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1063837995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7404 EVERGREEN WAY STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982035683",
"telephone_number": "425-382-2188",
"fax_number": "888-741-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7404 EVERGREEN WAY STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "98203",
"telephone_number": "425-382-2188",
"fax_number": "888-741-1274"
}
],
"practiceLocations": [
{
"address_1": "2122 164th St SW Ste 203",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980877811",
"country_code": "US",
"telephone_number": "425-245-7122",
"fax_number": "888-741-1274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12811 8th Ave W Ste A201",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982046300",
"country_code": "US",
"telephone_number": "425-559-3003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JO",
"first_name": "HYUN",
"middle_name": "CHARLIE",
"name_prefix": "Dr.",
"credential": "D.C., AEMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-01",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60812877",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60435756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.