Organization Active NPI

Jex Chiropractic Health Center PS

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1104942291
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002293 Issued in WA
Legal business name
JEX CHIROPRACTIC HEALTH CENTER PS
Practice address
533 S 336TH St Ste a
Federal Way, WA 98003-6329
Phone
(253) 838-1080
Fax
(253) 838-2551
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Mrs. Kimberly Marie Pierce
Title
Office Manager
Phone
(253) 838-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002293 WA Primary

Addresses

Primary practice location

533 S 336TH St Ste a
Federal Way, WA 98003-6329

Mailing address

533 S 336TH St Ste a
Federal Way, WA 98003-6329
Phone (253) 838-1080

Other identifiers 1

IdentifierTypeStateIssuer
0201096OtherWAL&I

Other names 1

  • Jex Chiropractic Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000151 WA Part B Supplier - Clinic/Group Practice 2860653201 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory
Tax ID family
Jex Chiropractic Health Center2 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.

Locations

533 S 336th St
Ste A
Federal Way, WA 98003
Phone (253) 838-1080

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1104942291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-838-1080",
            "fax_number": "253-838-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-838-1080",
            "fax_number": "253-838-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEX CHIROPRACTIC HEALTH CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-04-09",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-838-1080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0201096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jex Chiropractic Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.