Organization Active NPI

Painless Clinic PLLC

Doing business as Uni Clinic

  • Neurology Physician
  • Renton, WA
National Provider Identifier
1477204295
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PAINLESS CLINIC PLLC
Doing business as
Uni Clinic
Practice address
4300 Talbot Rd S. Ste 314
Renton, WA 98055-6238
Phone
(425) 228-7446
Fax
(425) 277-4746
NPI assigned
Jan 13, 2022
Organization subpart
Yes
Parent organization
PAINLESS CLINIC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Chang Bum Shin, M.D.NPI 1730207143
Title
President
Phone
(425) 228-7446

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4300 Talbot Rd S. Ste 314
Renton, WA 98055-6238

Mailing address

4300 Talbot Rd S. Ste 314, Uni Clinic
Renton, WA 98055-6238
Phone (425) 228-7446

Other names 1

  • Uni Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316002819 WA Part B Supplier - Clinic/Group Practice 0941695688 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory
Part of
Painless Clinic PLLC

Locations

1014 S 320th St
Ste D
Federal Way, WA 98003
Phone (253) 838-5010

33919 9th Ave S
Ste 101B
Federal Way, WA 98003
Phone (253) 535-5025

256 SW 43rd St
Renton, WA 98057

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1477204295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S. STE 314, UNI CLINIC",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-7446",
            "fax_number": "425-277-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S. STE 314",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-7446",
            "fax_number": "425-277-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINLESS CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAINLESS CLINIC PLLC",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "BUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-228-7446",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uni Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uni Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2022; 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.