Organization Active NPI

Amos Chon DC PLLC

  • Chiropractor
  • Covington, WA
National Provider Identifier
1215700372
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 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
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Amos Young Won Chon, DCNPI 1861985236
Title
Manager/Chiropractor
Phone
(406) 270-7614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117002905 WA Part B Supplier - Clinic/Group Practice 2264880970 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, WA

National Provider Directory

National Provider Directory

Locations

27641 Covington Way SE
#2
Covington, WA 98042
Phone (253) 630-9777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1215700372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25339 128TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306605",
            "telephone_number": "406-270-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27641 COVINGTON WAY SE # 2",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429120",
            "telephone_number": "253-630-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOS CHON DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "CHON",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "YOUNG WON",
        "authorized_official_title_or_position": "MANAGER/CHIROPRACTOR",
        "authorized_official_telephone_number": "406-270-7614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.