Individual provider Active NPI

Tae Mo Ahn, D.C.

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1740349422
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0034489 Issued in WA
Practice address
5358 33Rd Avenue NW Ste 204
Gig Harbor, WA 98335-1773
Phone
(253) 853-7580
Fax
(253) 853-7582
NPI assigned
Dec 8, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0034489 WA Primary

Addresses

Primary practice location

5358 33Rd Avenue 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 names 1

  • Mr. Robert Ahn Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000506 WA Practitioner - Chiropractic 9739101973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unison Wellness Center FW PLLCGroup PAC ID 1456848811, 2 clinicians

Practice addresses (Care Compare)

1801 S 324TH PL
Federal Way, WA 98003-8505
Phone (253) 853-7580

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0034489WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unison Chiropractic PS CurrentSince Mar 4, 2015 Accepting new patients
Unison Wellness Center FW PLLC Chiropractor CurrentSince Aug 3, 2025 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740349422",
    "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 AVENUE NW STE 204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351773",
            "telephone_number": "253-853-7580",
            "fax_number": "253-853-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "TAE",
        "middle_name": "MO",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0034489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "AHN",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 9, 2007; 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.