Individual provider Active NPI

Un Ha Song, D.C.

  • Chiropractor
  • Everett, WA
National Provider Identifier
1447587720
Registry record updated Nov 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60118922 Issued in WA
Practice address
221 SE Everett Mall Way
Suite M7
Everett, WA 98208-3239
Phone
(425) 348-8888
Fax
(425) 348-8887
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60118922 WA Primary

Addresses

Primary practice location

221 SE Everett Mall Way
Suite M7
Everett, WA 98208-3239

Mailing address

221 SE Everett Mall Way
Suite M7
Everett, WA 98208-3239
Phone (425) 348-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH60118922WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Family Chiropractic, Inc. Chiropractor Past Accepting new patients
Ankle and Foot Specialists of Washington, Inc Past Accepting new patients

Organizations & group practices 2

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": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257552000000",
    "number": "1447587720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SE EVERETT MALL WAY",
            "address_2": "SUITE M7",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083239",
            "telephone_number": "425-348-8888",
            "fax_number": "425-348-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SE EVERETT MALL WAY",
            "address_2": "SUITE M7",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083239",
            "telephone_number": "425-348-8888",
            "fax_number": "425-348-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "UN",
        "middle_name": "HA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2009-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60118922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; 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.