Organization Active NPI

Ace Chiropractic, Inc

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1922487982
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60169609 Issued in WA
Legal business name
ACE CHIROPRACTIC, INC
Practice address
930 S 336TH St Ste E
Federal Way, WA 98003-6384
Phone
(253) 252-2415
Fax
(253) 235-5681
NPI assigned
May 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dr. SE Jun Ji, D.C.NPI 1609071018
Title
President
Phone
(253) 380-7951

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 60169609 WA Primary

Addresses

Primary practice location

930 S 336TH St Ste E
Federal Way, WA 98003-6384

Mailing address

930 S 336TH St Ste E
Federal Way, WA 98003-6384
Phone (253) 252-2415

Other names 1

  • Se Jun Ji , DC Doing business as

National Provider Directory

National Provider Directory

Locations

23830 Highway 99
Ste 101
Edmonds, WA 98026
Phone (425) 778-9191

9115 South Tacoma Way
Ste 109
Lakewood, WA 98499
Phone (253) 582-5500

Practitioners & affiliated clinicians

Practitioners 3

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": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1922487982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S 336TH ST STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036384",
            "telephone_number": "253-252-2415",
            "fax_number": "253-235-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S 336TH ST STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036384",
            "telephone_number": "253-252-2415",
            "fax_number": "253-235-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "SE JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-380-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60169609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Se Jun Ji , DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 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.