Active NPI
Haechan Chung, DC
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1922707736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61420545
- Practice address
- 2122 164TH St SW Ste 203
Lynnwood, WA 98087-7811 - Phone
- (425) 245-7122
- NPI assigned
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- No
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 | CH61420545 | WA | Primary |
Addresses
Primary practice location
2122 164TH St SW Ste 203
Lynnwood, WA 98087-7811
Mailing address
2122 164TH St SW Ste 203
Lynnwood, WA 98087-7811
Phone (425) 245-7122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH.61420545 | Other | WA | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12530 Admiralty Way Apt
D302
Everett, WA 98204-8588
2122 164TH St SW
Suite 203
Lynnwood, WA 98087-7811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH61420545 | WA | MD | Chiropractor |
| 36023 | CA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lynnwood, WA
- NPI 1174765184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1922707736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 164TH ST SW STE 203",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980877811",
"telephone_number": "425-245-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 164TH ST SW STE 203",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980877811",
"telephone_number": "425-245-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "HAECHAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61420545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "CH.61420545",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.