NW Foot Clinic PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00157 Issued in OR

Legal business name

NW FOOT CLINIC PC

Practice address

3895 SW 185TH Ave
#140
Aloha, OR 97078-1573

Phone

(503) 591-7449

Fax

(503) 591-5826

NPI assigned

Dec 5, 2007

Last updated

Dec 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David S. Chung, DPMNPI 1376552778

Title

Owner

Phone

(503) 591-7449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David S Chung, D.P.M.

  • Podiatrist
  • Aloha, OR
  • NPI 1376552778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1568644144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SW 185TH AVE",
            "address_2": "#100",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781567",
            "telephone_number": "503-591-7449",
            "fax_number": "503-591-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 SW 185TH AVE",
            "address_2": "#140",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781573",
            "telephone_number": "503-591-7449",
            "fax_number": "503-591-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-591-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers Inc. (Morthwest Hearing Centers)
• Northwest Endodontics, PC
• Northwest Family Health LLC
• Northwest Mobile Hygiene, LLC
• Grace Abwenzoh Ntube, RN
• George O'Hara
• Martin R Olivera Jr.
• Kayla Olson
• Adeniyi J Omojola
• Oregon CVS Pharmacy LLC (CVS Pharmacy #11669)

• Podiatrist in Aloha, OR
• Providers in Aloha, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.