Myomedi Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034559 Issued in WA

Legal business name

MYOMEDI CHIROPRACTIC CLINIC

Practice address

31260 Pacific Hwy S Ste 9
Federal Way, WA 98003-5448

Phone

(253) 528-0172

Fax

(253) 528-0173

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Suk Jae Hur, DCNPI 1902844095

Title

Owner

Phone

(253) 528-0172

Specialties & licenses 1

Addresses

Tax ID family

Myomedi Chiropractic Clinic2 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.

• Myomedi Chiropractic Clinic

  • Clinic/Center
  • Federal Way, WA
  • NPI 1063960581
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sukjae Jae Hur, D.C.

  • Chiropractor
  • Federalway, WA
  • NPI 1902844095
  NPD (past) Authorized official
• Young Ju Lee, L.M.P.

  • Reflexologist
  • Federal Way, WA
  • NPI 1730454570
  NPD (past)
• Chung Kyu Park, L.M.P.

  • Reflexologist
  • Federal Way, WA
  • NPI 1447488234
  NPD (past)

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1669612909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOMEDI CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "HUR",
        "authorized_official_first_name": "SUK JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-528-0172",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Gacheru Mwaura
• Anne Mwei
• Brenda A. Myers Powell, M.D. PH.D.
• Olesya Mykulyn, PA-C
• Myomedi Chiropractic Clinic
• Myoptics, LLC
• Melissa Anne Myton, RD, LD
• N.I.Solovjov, DDS, PLLC
• Chcuk E. NA, D.C.
• Ashenafi Nabi

• 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 Feb 26, 2009; 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.