Individual provider Active NPI

Hyun Charlie Jo, D.C., AEMP

  • Chiropractor
  • Everett, WA
National Provider Identifier
1063837995
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60435756 Issued in WA
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

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CH60435756WAMDChiropractor
AC60812877WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Center,Inc. Chiropractor Past Accepting new patients
Han Sung Health Center Inc Acupuncturist PastSince Nov 10, 2024 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.

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.

Verify at the official NPI Registry.