Individual provider Active NPI

Kevin S Jex, DC

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1295792653
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002293 Issued in WA
Practice address
533 S 336TH St Ste a
Federal Way, WA 98003-6329
Phone
(253) 838-1080
Fax
(253) 838-2551
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002293 WA Primary

Addresses

Primary practice location

533 S 336TH St Ste a
Federal Way, WA 98003-6329

Mailing address

533 S 336TH St Ste a
Federal Way, WA 98003-6329
Phone (253) 838-1080

Other identifiers 2

IdentifierTypeStateIssuer
0201096OtherWAL&I
2012375MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000672 WA Practitioner - Chiropractic 3577725910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34730 Pacific Hwy S
Federal Way, WA 98003-6821
Phone (253) 838-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002293WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jex Chiropractic Health Center PS Chiropractor CurrentSince Dec 5, 2011 Accepting new patients

Locations

533 S 336th St
Ste A
Federal Way, WA 98003
Phone (253) 838-1080

34730 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 838-1080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1295792653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-838-1080",
            "fax_number": "253-838-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-838-1080",
            "fax_number": "253-838-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEX",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0201096",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012375",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.