Organization Active NPI

NW Integrative Wellness Inc

Doing business as Ao Chiropractic Wellness

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1801176979
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60169609 Issued in WA
Legal business name
NW INTEGRATIVE WELLNESS INC
Doing business as
Ao Chiropractic Wellness
Practice address
930 S 336TH St
Ste. E
Federal Way, WA 98003-6384
Phone
(253) 380-7951
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. SE Jun Ji, D.C.
Title
President
Phone
(253) 380-7951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60169609 WA Primary

Addresses

Primary practice location

930 S 336TH St
Ste. E
Federal Way, WA 98003-6384

Mailing address

930 S. 336TH St.
Ste. E
Federal Way, WA 98003
Phone (253) 380-7951

Other names 1

  • AO CHIROPRACTIC WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

930 S 336th St
Ste E
Federal Way, WA 98003
Phone (253) 252-2415

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1801176979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S. 336TH ST.",
            "address_2": "STE. E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-380-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S 336TH ST",
            "address_2": "STE. E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036384",
            "telephone_number": "253-380-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW INTEGRATIVE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "SE JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-380-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60169609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AO CHIROPRACTIC WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.