Myomedi Chiropractic Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH00034559 Issued in WA

Legal business name

MYOMEDI CHIROPRACTIC CLINIC

Practice address

31260 Pacific Hwy S Ste 9
Federal Way, WA 98003-5448

Phone

(253) 528-0172

Fax

(253) 528-0173

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Suk Jae Hur, DC, FAAIMNPI 1902844095

Title

Doctor

Phone

(253) 528-0172

Specialties & licenses 1

Addresses

Tax ID family

Myomedi Chiropractic 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.

• Myomedi Chiropractic Clinic

  • Chiropractor
  • Federal Way, WA
  • NPI 1669612909
  NPD tax ID

Locations

Practitioners 3

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

• Sukjae Jae Hur, D.C.

  • Chiropractor
  • Federalway, WA
  • NPI 1902844095
  NPD (past) Authorized official
• Young Ju Lee, L.M.P.

  • Reflexologist
  • Federal Way, WA
  • NPI 1730454570
  NPD (past)
• Chung Kyu Park, L.M.P.

  • Reflexologist
  • Federal Way, WA
  • NPI 1447488234
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1063960581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOMEDI CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HUR",
        "authorized_official_first_name": "SUK JAE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-528-0172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FAAIM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00034559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Wanjiku Mwaniki
• George Gacheru Mwaura
• Anne Mwei
• Brenda A. Myers Powell, M.D. PH.D.
• Olesya Mykulyn, PA-C
• Myomedi Chiropractic Clinic
• Myoptics, LLC
• Melissa Anne Myton, RD, LD
• N.I.Solovjov, DDS, PLLC
• Chcuk E. NA, D.C.

• Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.