Jonathan Alan Wan, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

00034878 Issued in WA

Practice address

662 Strander Blvd
Tukwila, WA 98188-2923

Phone

(425) 204-1575

NPI assigned

Sep 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Insight Chiropractic Wellness Center P.S. Inc.

  dba Yelm Chiropractic and Wellness Center

  • Chiropractor
  • Yelm, WA
  • NPI 1154652311
  Medicare reassignment NPD Authorized official
• Virk Chiropractic Inc. PS

  dba Southcenter Chiropractic

  • Chiropractor
  • Tukwila, WA
  • NPI 1013152636
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1639329188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MONROE AVE NE",
            "address_2": "UNIT 307",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980568400",
            "telephone_number": "206-724-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882923",
            "telephone_number": "425-204-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00034878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walnut Vision Care Wa
• Elizabeth Anne Walters, MSW
• Jerome Walters Sr., CDP
• Harrison Wamai, DDS
• Maria Wamansjah, PHARMACIST
• Victoria M Wan, DDS
• Shirley S. Wang, O.D.
• Stacey Wang
• Xiaojue Wang, PHARM D
• Hope Wanjiru

• Chiropractor in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.