SE Jun Ji, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60169609 Issued in WA

Practice address

33305 1St Way S Ste B104
Federal Way, WA 98003-4545

Phone

(253) 252-2415

Fax

(253) 235-5681

NPI assigned

Jun 15, 2007

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Chiropractic, Inc

  dba Se Jun Ji , DC

  • Chiropractor
  • Federal Way, WA
  • NPI 1922487982
  NPD Authorized official
• Ace Integartive Clinic, Inc

  dba ACE Injury Pain Clinic

  • Chiropractor
  • Beaverton, OR
  • NPI 1043821507
  NPD Authorized official

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1609071018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33305 1ST WAY S STE B104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034545",
            "telephone_number": "253-252-2415",
            "fax_number": "253-235-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33305 1ST WAY S STE B104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034545",
            "telephone_number": "253-252-2415",
            "fax_number": "253-235-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "SE JUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5996",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4142",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60169609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Jewett
• Jex Chiropractic Health Center PS
• Jex Chiropractic Health Center PS
• Kevin S Jex, DC
• Gurbax Kaur Jhattu
• Cindy Jiao
• Celina Jimenez, RN
• Claudia Joaquin
• Mary Elsbeth Johann, ARNP
• John a. Hodges DDS PS

• Chiropractor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.