Active NPI
John J Sim, DC
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1699872093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034211
- Practice address
- 16303 Highway 99
Suite 1B
Lynnwood, WA 98087-1453 - Phone
- (425) 743-9460
- Fax
- (425) 743-9409
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 1, 2013
- 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 | CH00034211 | WA | Primary |
Addresses
Primary practice location
16303 Highway 99
Suite 1B
Lynnwood, WA 98087-1453
Mailing address
16303 Highway 99
Suite 1B
Lynnwood, WA 98087-1453
Phone (425) 743-9460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034211 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corbin Chiropractic Clinic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Lynnwood, WA
- NPI 1477698553
-
- Massage Therapist
- Lynnwood, WA
- NPI 1699200642
-
- Chiropractor
- Renton, WA
- NPI 1598897050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1699872093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16303 HIGHWAY 99",
"address_2": "SUITE 1B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980871453",
"telephone_number": "425-743-9460",
"fax_number": "425-743-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16303 HIGHWAY 99",
"address_2": "SUITE 1B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980871453",
"telephone_number": "425-743-9460",
"fax_number": "425-743-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIM",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.