Organization Active NPI

Jade Chiropractic and Wellness Center

  • Chiropractor
  • Renton, WA
National Provider Identifier
1275917734
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60567150 Issued in WA
Legal business name
JADE CHIROPRACTIC AND WELLNESS CENTER
Practice address
6003 SE 2ND St
Renton, WA 98059-8549
Phone
(206) 673-0199
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Han Nguyen, D.C.
Title
Chiropractor
Phone
(206) 673-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH60567150 WA Primary

Addresses

Primary practice location

6003 SE 2ND St
Renton, WA 98059-8549

Mailing address

6003 SE 2ND St
Renton, WA 98059-8549

National Provider Directory

National Provider Directory

Locations

27121 174th Pl SE
Ste 105
Covington, WA 98042
Phone (206) 432-7373

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1275917734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 SE 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980598549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 SE 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980598549",
            "telephone_number": "206-673-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "206-673-0199",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60567150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.