Individual provider Active NPI

Brian Woong Choi

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1801484647
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9004 Issued in AZ
Practice address
4225 W Glendale Ave Ste A104
Phoenix, AZ 85051-8147
Phone
(623) 322-1777
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9004 AZ Primary

Addresses

Primary practice location

4225 W Glendale Ave Ste A104
Phoenix, AZ 85051-8147

Mailing address

4225 W Glendale Ave Ste A104
Phoenix, AZ 85051-8147
Phone (623) 322-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131002128 WA Practitioner - Chiropractic 8820403009

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12811 SE 38TH St
Bellevue, WA 98006-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CWC Group, PS Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

12811 SE 38th St
Bellevue, WA 98006
Phone (425) 378-1800

1627 S 312th St
Federal Way, WA 98003
Phone (253) 839-9330

9701 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 588-8340

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1801484647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518147",
            "telephone_number": "623-322-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518147",
            "telephone_number": "623-322-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "BRIAN",
        "middle_name": "WOONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.