Active NPI
Jason Kim, D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1871904045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60439749
- Practice address
- 11900 NE 1St St
Suite 300
Bellevue, WA 98005-3046 - Phone
- (425) 283-3023
- NPI assigned
- May 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60439749 | WA | Primary |
Addresses
Primary practice location
11900 NE 1St St
Suite 300
Bellevue, WA 98005-3046
Mailing address
11900 NE 1St St
Suite 300
Bellevue, WA 98005-3046
Phone (425) 283-3023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH60439749 | Other | WA | CHIROPRACTIC LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60439749 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1871904045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 NE 1ST ST",
"address_2": "SUITE 300",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053046",
"telephone_number": "425-283-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 NE 1ST ST",
"address_2": "SUITE 300",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053046",
"telephone_number": "425-283-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-09",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60439749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE NUMBER",
"identifier": "CH60439749",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.