NPIMap

Organization Active NPI

Chung Song Ja Corp

Doing business as North Seattle Health Center

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1558575282
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00000758 Issued in WA
Legal business name
CHUNG SONG JA CORP
Doing business as
North Seattle Health Center
Practice address
1220 116TH Ave NE Ste 203
Bellevue, WA 98004-3826
Phone
(425) 637-2000
NPI assigned
May 10, 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
Dae Hyun Choi, LAC
Title
Director
Phone
(425) 637-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 00000758 WA Primary

Addresses

Primary practice location

1220 116TH Ave NE Ste 203
Bellevue, WA 98004-3826

Mailing address

1220 116TH Ave NE Ste 203
Bellevue, WA 98004-3826
Phone (425) 637-2000

Other names 1

  • North Seattle Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chung Song Ja 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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558575282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043826",
            "telephone_number": "425-637-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043826",
            "telephone_number": "425-637-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG SONG JA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DAE HYUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-637-2000",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "00000758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Seattle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.