Individual provider Active NPI

Kho-Hay Azul Enos, L.M.P

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1184923856
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA 60147179 Issued in WA
Practice address
555 108TH Ave NE Ste 1
Bellevue, WA 98004-5578
Phone
(425) 452-9280
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA 60147179 WA Primary

Addresses

Primary practice location

555 108TH Ave NE Ste 1
Bellevue, WA 98004-5578

Mailing address

424 N River Ave
Buckley, WA 98321-9535
Phone (253) 226-7021

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
MA 60147179WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tensegrity Past Accepting new patients
Physical Medicine of Bellevue PLLC Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1184923856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N RIVER AVE",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219535",
            "telephone_number": "253-226-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 108TH AVE NE STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045578",
            "telephone_number": "425-452-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOS",
        "first_name": "KHO-HAY",
        "middle_name": "AZUL",
        "credential": "L.M.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "MA 60147179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.