NPIMap

Organization Active NPI

Blue Spring Chiropractic P.S. Inc

  • Clinic/Center
  • Federal Way, WA
National Provider Identifier
1841565645
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH60168065 Issued in WA
Legal business name
BLUE SPRING CHIROPRACTIC P.S. INC
Practice address
1627 S 312TH St # B
Federal Way, WA 98003-4915
Phone
(253) 839-9330
Fax
(253) 839-9334
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Youngyun Kim, DC
Title
Clinic Director
Phone
(253) 839-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH60168065 WA Primary

Addresses

Primary practice location

1627 S 312TH St # B
Federal Way, WA 98003-4915

Mailing address

1627 S 312TH St # B
Federal Way, WA 98003-4915
Phone (253) 839-9330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1841565645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 S 312TH ST # B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034915",
            "telephone_number": "253-839-9330",
            "fax_number": "253-839-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 S 312TH ST # B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034915",
            "telephone_number": "253-839-9330",
            "fax_number": "253-839-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRING CHIROPRACTIC P.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGYUN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "253-839-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH60168065",
            "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 Mar 13, 2012; 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.