Organization Active NPI

Non-Surgical Spine Care Center

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1326237330
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034775 Issued in WA
Legal business name
NON-SURGICAL SPINE CARE CENTER
Practice address
1240 116TH Ave NE # 101
Bellevue, WA 98004-3815
Phone
(425) 455-3472
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Jae Kyung Chang, D.C.NPI 1528258704
Title
Clinic Director
Phone
(808) 393-4365

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034775 WA Primary

Addresses

Primary practice location

1240 116TH Ave NE # 101
Bellevue, WA 98004-3815

Mailing address

1240 116TH Ave NE # 101
Bellevue, WA 98004-3815
Phone (425) 455-3472

Other names 1

  • Non-surgical spine care center Other name

National Provider Directory

National Provider Directory

Locations

1240 116th Ave NE
Ste 101
Bellevue, WA 98004
Phone (425) 455-3472

Practitioners & affiliated clinicians

Practitioners 1

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1326237330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 116TH AVE NE # 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043815",
            "telephone_number": "425-455-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 116TH AVE NE # 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043815",
            "telephone_number": "425-455-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-SURGICAL SPINE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "808-393-4365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Non-surgical spine care center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 16, 2007; 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.