NPIMap

Organization Active NPI

Osmed Spine Clinic PS

  • Chiropractor
  • Renton, WA
National Provider Identifier
1902400583
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OSMED SPINE CLINIC PS
Practice address
919 Harrington Ave NE Ste a
Renton, WA 98056-3013
Phone
(425) 291-7247
Fax
(425) 988-3104
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Sukjae Hur, DC, FAAIMNPI 1902844095
Title
Ceo
Phone
(425) 999-2104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

919 Harrington Ave NE Ste a
Renton, WA 98056-3013

Mailing address

919 Harrington Ave NE Ste a
Renton, WA 98056-3013
Phone (425) 291-7247

National Provider Directory

National Provider Directory

Locations

919 Harrington Ave NE
#A
Renton, WA 98056
Phone (425) 291-7247

Practitioners & affiliated clinicians

Practitioners 1

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": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1902400583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HARRINGTON AVE NE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563013",
            "telephone_number": "425-291-7247",
            "fax_number": "425-988-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 HARRINGTON AVE NE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563013",
            "telephone_number": "425-291-7247",
            "fax_number": "425-988-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSMED SPINE CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HUR",
        "authorized_official_first_name": "SUKJAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-999-2104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FAAIM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.