Individual provider Active NPI

Amos Young Won Chon, DC

  • Chiropractor
  • Covington, WA
National Provider Identifier
1861985236
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61074778 Issued in WA
Practice address
27641 Covington Way SE # 2
Covington, WA 98042-9120
Phone
(253) 630-9777
NPI assigned
Jun 11, 2018
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34239 CA
Chiropractor 111N00000X 61074778 WA Primary

Addresses

Primary practice location

27641 Covington Way SE # 2
Covington, WA 98042-9120

Mailing address

25339 128TH Ave SE
Kent, WA 98030-6605
Phone (253) 630-9777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003088 WA Practitioner - Chiropractic 3173971884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27641 Covington Way SE
Suite 2
Covington, WA 98042-9120
Phone (253) 630-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34239CAMDChiropractor
61074778WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amos Chon DC PLLC Chiropractor CurrentSince Oct 24, 2023 Accepting new patients
Mati Custom Chiropractic Corporation Chiropractor PastSince Jan 6, 2022 Accepting new patients

Locations

27641 Covington Way SE
#2
Covington, WA 98042
Phone (253) 630-9777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1861985236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25339 128TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306605",
            "telephone_number": "253-630-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27641 COVINGTON WAY SE # 2",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429120",
            "telephone_number": "253-630-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "AMOS",
        "middle_name": "YOUNG WON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34239",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61074778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.