Individual provider Active NPI

Christopher Jordan Jex, DC

  • Chiropractor
  • Renton, WA
National Provider Identifier
1710167416
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034844 Issued in WA
Practice address
19201 108TH Ave SE
Suite 101
Renton, WA 98055-7379
Phone
(253) 859-6441
Fax
(253) 859-9437
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034844 WA Primary

Addresses

Primary practice location

19201 108TH Ave SE
Suite 101
Renton, WA 98055-7379

Mailing address

19201 108TH Ave SE
Suite 101
Renton, WA 98055-7379
Phone (253) 859-6441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000587 WA Practitioner - Chiropractic 0143309427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11014 SE 192ND St
Renton, WA 98055-7432
Phone (253) 859-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marsh Chiropractic, PS Chiropractor CurrentSince Apr 14, 2008 Accepting new patients
Petrilli Chiropractic Services PS Chiropractor Past Accepting new patients

Locations

19201 108th Ave SE
Ste 101
Renton, WA 98055
Phone (253) 859-6441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1710167416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "SUITE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "SUITE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEX",
        "first_name": "CHRISTOPHER",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.