NPIMap

Organization Active NPI

Hazel Dell Massage LLC

Doing business as Hazel Dell Massage and Chiropractic

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1932878006
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAZEL DELL MASSAGE LLC
Doing business as
Hazel Dell Massage and Chiropractic
Practice address
8605 NE Highway 99 Ste 108
Vancouver, WA 98665-8921
Phone
(360) 258-1856
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dr. Youngyun Kim, DCNPI 1124335070
Title
Owner
Phone
(253) 227-8900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

8605 NE Highway 99 Ste 108
Vancouver, WA 98665-8921

Mailing address

8605 NE Highway 99 Ste 108
Vancouver, WA 98665-8921
Phone (360) 258-1856

Other names 1

  • HAZEL DELL MASSAGE AND CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1932878006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 NE HIGHWAY 99 STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658921",
            "telephone_number": "360-258-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 NE HIGHWAY 99 STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658921",
            "telephone_number": "360-258-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL DELL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-227-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAZEL DELL MASSAGE AND CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.