Amos Chon DC PLLC
Organization Active NPI Chiropractor · Covington, WA
NPI 1215700372 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1215700372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AMOS CHON DC PLLC
- Practice address
- 27641 Covington Way SE # 2
Covington, WA 98042-9120 - Phone
- (253) 630-9777
- NPI assigned
- Nov 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Amos Young Won Chon, DC
- Title
- Manager/Chiropractor
- Phone
- (406) 270-7614
Practitioners 2
-
Neal B Vitalis, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231117002905 | WA | Part B Supplier - Clinic/Group Practice | 2264880970 |
Receives reassigned benefits from 1 practitioner Practice locations: Covington, WA |
National Provider Directory
Locations
27641 Covington Way SE
#2
Covington, WA 98042
Phone (253) 630-9777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
27641 Covington Way SE # 2
Covington, WA 98042-9120
Mailing address
25339 128TH Ave SE
Kent, WA 98030-6605
Phone (406) 270-7614
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.