Active NPI
Fdseattle Clinic Inc
- Sports Physician Chiropractor
- Seattle, WA
National Provider Identifier
1851824197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH60415454
- Legal business name
- FDSEATTLE CLINIC INC
- Practice address
- 918 S Horton St
Ste 930
Seattle, WA 98134-1952 - Phone
- (425) 533-2325
- NPI assigned
- Apr 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chanil Jung, D.C.
- Title
- Chiropractor
- Phone
- (425) 533-2325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH60415454 | WA | Primary |
Addresses
Primary practice location
918 S Horton St
Ste 930
Seattle, WA 98134-1952
Mailing address
918 S Horton St
Ste 930
Seattle, WA 98134-1952
Phone (425) 533-2325
National Provider Directory
National Provider DirectoryLocations
918 S Horton St
Ste 930
Seattle, WA 98134
Phone (425) 533-2325
6840 Fort Dent Way
Ste 120
Tukwila, WA 98188
Phone (206) 466-1880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Renton, WA
- NPI 1568143840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1851824197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 S HORTON ST",
"address_2": "STE 930",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341952",
"telephone_number": "425-533-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 S HORTON ST",
"address_2": "STE 930",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341952",
"telephone_number": "425-533-2325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FDSEATTLE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "CHANIL",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "425-533-2325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "CH60415454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.