Active NPI
Lik Shun Chan, DC
- Chiropractor
- Seattle, WA
National Provider Identifier
1558904995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60997017
- Practice address
- 900 S Jackson St Ste 117
Seattle, WA 98104-3056 - Phone
- (206) 233-0818
- Fax
- (206) 292-9340
- NPI assigned
- Oct 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60997017 | WA | Primary |
Addresses
Primary practice location
900 S Jackson St Ste 117
Seattle, WA 98104-3056
Mailing address
PO Box 14136
Seattle, WA 98114-0136
Phone (206) 233-0818
Other practice location 1
12419 Renton Ave S
Seattle, WA 98178-3708
Phone (206) 772-0088
Other practice location 2
14862 Lake Hills Blvd
Bellevue, WA 98007-5821
Phone (425) 649-9335
Other practice location 3
7200 S 180th St Ste 101
Tukwila, WA 98188-5548
Phone (425) 970-4655
Other names 1
- Nelson Chan
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Injury Clinic, PS | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1548766058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1558904995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14136",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981140136",
"telephone_number": "206-233-0818",
"fax_number": "206-292-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S JACKSON ST STE 117",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043056",
"telephone_number": "206-233-0818",
"fax_number": "206-292-9340"
}
],
"practiceLocations": [
{
"address_1": "12419 Renton Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981783708",
"country_code": "US",
"telephone_number": "206-772-0088",
"fax_number": "206-772-5420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14862 Lake Hills Blvd",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980075821",
"country_code": "US",
"telephone_number": "425-649-9335",
"fax_number": "425-649-0256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7200 S 180th St Ste 101",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981885548",
"country_code": "US",
"telephone_number": "425-970-4655",
"fax_number": "425-970-4657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "LIK SHUN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60997017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NELSON",
"last_name": "CHAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.