Organization Active NPI

Unison Chiropractic PS

  • Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1700275849
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH0034489 Issued in CA
Legal business name
UNISON CHIROPRACTIC PS
Practice address
5358 33Rd Ave NW Ste 204
Gig Harbor, WA 98335-1773
Phone
(253) 853-7580
Fax
(253) 853-7582
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Tae Mo Ahn, MICHELLE CHUNGNPI 1740349422
Title
Office Manager
Phone
(253) 853-7580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH0034489 CA Primary

Addresses

Primary practice location

5358 33Rd Ave NW Ste 204
Gig Harbor, WA 98335-1773

Mailing address

5358 33Rd Ave NW Ste 204
Gig Harbor, WA 98335-1773
Phone (253) 853-7580

Other practice location 1

1801 S 324th Pl
Federal Way, WA 98003-8505
Phone (253) 661-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000197 WA Part B Supplier - Clinic/Group Practice 7618125667 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory
Tax ID family
Unison Chiropractic PS2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1700275849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5358 33RD AVE NW STE 204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351773",
            "telephone_number": "253-853-7580",
            "fax_number": "253-853-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5358 33RD AVE NW STE 204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351773",
            "telephone_number": "253-853-7580",
            "fax_number": "253-853-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 S 324th Pl",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038505",
            "country_code": "US",
            "telephone_number": "253-661-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNISON CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "MO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-853-7580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MICHELLE CHUNG"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "CH0034489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.