Individual provider Active NPI

Jason Josiah Kiu, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1740925585
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61301217 Issued in WA
Practice address
1625 W 4TH Ave Lowr Level200
Spokane, WA 99201-5620
Phone
(509) 624-5855
NPI assigned
May 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61301217 WA Primary

Addresses

Primary practice location

1625 W 4TH Ave Lowr Level200
Spokane, WA 99201-5620

Mailing address

1625 W 4TH Ave Lowr Level200
Spokane, WA 99201-5620
Phone (509) 624-5855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628002980 WA Practitioner - Chiropractic 7618356205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fourth Avenue Chiropractic ClinicGroup PAC ID 9234025586, 4 clinicians

Practice addresses (Care Compare)

1625 W 4TH Ave
Lowr 200
Spokane, WA 99201-5620
Phone (509) 624-5855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1740925585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE LOWR LEVEL200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015620",
            "telephone_number": "509-624-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE LOWR LEVEL200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015620",
            "telephone_number": "509-624-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIU",
        "first_name": "JASON",
        "middle_name": "JOSIAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61301217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.