Active NPI
Ji Woo Kim
- Acupuncturist
- Federal Way, WA
National Provider Identifier
1740599869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 00002721
- Practice address
- 424 S 308TH St
Federal Way, WA 98003-4025 - Phone
- (253) 347-3745
- Fax
- (253) 941-0908
- NPI assigned
- Oct 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 00002721 | WA | Primary |
Addresses
Primary practice location
424 S 308TH St
Federal Way, WA 98003-4025
Mailing address
424 S 308TH St
Federal Way, WA 98003-4025
Phone (253) 347-3745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002721 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1740599869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 S 308TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034025",
"telephone_number": "253-347-3745",
"fax_number": "253-941-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S 308TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034025",
"telephone_number": "253-347-3745",
"fax_number": "253-941-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI",
"middle_name": "WOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "00002721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.