Amos Young Won Chon, DC
Individual provider Active NPI Chiropractor · Covington, WA
NPI 1861985236 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1861985236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 61074778 (WA)
- Practice address
- 27641 Covington Way SE # 2
Covington, WA 98042-9120 - Phone
- (253) 630-9777
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231120003088 | WA | Practitioner - Chiropractic | 3173971884 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34239 | CA | MD | Clinical Psychologist |
| 61074778 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amos Chon DC PLLC | Chiropractor | Current |
Accepting new patients |
| Mati Custom Chiropractic Corporation | Chiropractor | Past |
Accepting new patients |
Locations
27641 Covington Way SE
#2
Covington, WA 98042
Phone (253) 630-9777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34239 | CA | |
| Chiropractor | 111N00000X | 61074778 | WA | Yes |
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
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.