NPIMap

Organization Active NPI

DRDC Corporation

Doing business as NS Pain Clinic

  • Acupuncturist
  • Lynnwood, WA
National Provider Identifier
1528102530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000758 Issued in WA
Legal business name
DRDC CORPORATION
Doing business as
NS Pain Clinic
Practice address
4629 168TH St SW Ste C
Lynnwood, WA 98037-8640
Phone
(425) 741-0600
Fax
(425) 741-0601
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daehyun Choi
Title
Director
Phone
(425) 741-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00000758 WA Primary

Addresses

Primary practice location

4629 168TH St SW Ste C
Lynnwood, WA 98037-8640

Mailing address

4629 168TH St SW Ste C
Lynnwood, WA 98037-8640
Phone (425) 741-0600

Other names 1

  • NS Pain Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DRDC Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528102530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "425-741-0600",
            "fax_number": "425-741-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "425-741-0600",
            "fax_number": "425-741-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRDC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DAEHYUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-741-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NS Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.