NPIMap

Individual provider Active NPI

Sukjae Jae Hur, D.C.

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1902844095
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034559 Issued in WA
Practice address
31260 Pacific Hwy S.
Ste 9
Federalway, WA 98003-5448
Phone
(253) 528-0172
Fax
(253) 528-0173
NPI assigned
Jun 2, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26735 CA
Chiropractor 111N00000X CH00034559 WA Primary

Addresses

Primary practice location

31260 Pacific Hwy S.
Ste 9
Federalway, WA 98003-5448

Mailing address

31260 Pacific Hwy S.
Ste 9
Federalway, WA 98003-5448
Phone (253) 528-0172

Other identifiers 1

IdentifierTypeStateIssuer
DC26735OtherCACA CHIROPRACTOR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26735CAMDChiropractor
CH00034559WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Osmed Spine Clinic PS Chiropractor Current Accepting new patients
Myomedi Chiropractic Clinic Past Accepting new patients
Michael Cheeluen Chan,a Professional Corporation Past Accepting new patients
Myomedi Chiropractic Clinic Chiropractor Past Accepting new patients
Yonsei Medical Center a Professional Corporation Past Accepting new patients

Organizations & group practices 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1902844095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S.",
            "address_2": "STE 9",
            "city": "FEDERALWAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S.",
            "address_2": "STE 9",
            "city": "FEDERALWAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "SUKJAE",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26735",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CHIROPRACTOR",
            "identifier": "DC26735",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.