Active NPI
Ariene Chang, D.C.
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1124110614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034133
- Practice address
- 4320 196TH St SW Ste A1
Lynnwood, WA 98036-6773 - Phone
- (425) 224-5589
- NPI assigned
- Sep 29, 2006
- Last updated
- Feb 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034133 | WA | Primary |
Addresses
Primary practice location
4320 196TH St SW Ste A1
Lynnwood, WA 98036-6773
Mailing address
PO Box 2694
Lynnwood, WA 98036-2694
Phone (425) 224-5589
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171393 | Other | WA | LABOR & INDUSTRIES |
| 217421250709 | Other | WA | PREMERA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034133 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Wellness Center,PLLC | Chiropractor | Past | Accepting new patients |
| Premier Chiropractic #7, PLLC | Chiropractor | Past | Accepting new patients |
| South Tacoma Chiropractic and Rehabilitation, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1124110614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2694",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980362694",
"telephone_number": "425-224-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 196TH ST SW STE A1",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366773",
"telephone_number": "425-224-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ARIENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0171393",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "217421250709",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.