DR. JASON KIM (NPI# 1871904045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871904045 |
| Entity Type | Individual |
| Full Name | DR. JASON KIM |
| Credential | D.C. |
| Practice Address |
11900 Ne 1st St Suite 300 Bellevue WA 98005-3046 |
| Practice Telephone | 4252833023 |
| Mailing Telephone | 4252833023 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60439749 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CHIROPRACTIC LICENSE NUMBER | CH60439749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467913863 | Jason Donghyun Kim | Dentist | 542 New York Ave, Lyndhurst, NJ 07071-1532 | 2019-03-28 |
| 1023474921 | Jason Kim | Chiropractor | 2035 Royal Ln Ste 200, Dallas, TX 75229-7206 | 2016-01-07 |
| 1952785735 | Jason Kim | Dentist | 616 Virginia Beach Blvd Ste 102, Virginia Beach, VA 23451-4274 | 2015-07-12 |
| 1629302138 | Jason Kim | Dentist | 2220 Smokewood Ave, Fullerton, CA 92831-1107 | 2009-09-30 |
| 1275707846 | Jason Michael Kim | Urology | Department of Urology Hsc 9, Stony Brook University Medical Center, Stony Brook, NY 11794-7148 | 2008-04-15 |
| 1245451772 | Jason Jongwoon Kim | Acupuncturist | 16303 S. Western Ave., Suite 9, Gardena, CA 90247-4674 | 2007-05-01 |
| 1790793750 | Jason Kim | Dentist | 144-48 Roosevelt Ave, Ste Md-b, Flushing, NY 11354 | 2006-08-04 |
| 1013903475 | Jason Myungjoon Kim | Pharmacist | 8227 Woodman Ave, Panorama City, CA 91402-5426 | 2005-09-21 |
| 1205837945 | Jason S Kim | Pharmacist | 12724 Sagamore Rd, Leawood, KS 66209 | 2005-08-03 |
| 1205440104 | Jason Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Street Address |
11900 NE 1ST ST SUITE 300 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669873683 | Maxim Livshetz | Psychologist | 11900 Ne 1st St, Suite 315, Bellevue, WA 98005-3046 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679830 | Emmalynne Splichal | Chiropractor | 3407 Birchwood Dr, Bellevue, NE 68123-2364 | 2019-10-04 |
| 1629639711 | Clarissa L Engen | Chiropractor | 2018 156th Ave Ne Ste 135, Bellevue, WA 98007-3825 | 2019-06-28 |
| 1982166682 | Wilhelm Bruno Von Eckroth | Chiropractor | 1800 116th Ave Ne Ste 101, Bellevue, WA 98004-3043 | 2019-04-02 |
| 1649734930 | Onepoint Chiropractic | Chiropractor | 4307 Factoria Blvd Se Ste 2, Bellevue, WA 98006-1936 | 2019-01-30 |
| 1417436429 | Hidden Valley Health LLC | Chiropractor | 1750 112th Ave Ne Ste A208, Bellevue, WA 98004-3765 | 2018-08-09 |
| 1295246080 | William Shiau | Chiropractor | 1407 116th Ave Ne Ste 104, Bellevue, WA 98004-3819 | 2017-10-19 |
| 1487163358 | Cameron Adam Lee | Chiropractor | 11212 Ne 36th Pl Apt E224, Bellevue, WA 98004-7997 | 2017-09-23 |
| 1053761999 | Youngjoo Koh | Chiropractor | 15350 Se 37th St Ste 100, Bellevue, WA 98006-1732 | 2016-06-21 |
| 1700246253 | Mitch Gottschalk | Chiropractor | 320 106th Ave Ne Suite A, Bellevue, WA 98004 | 2016-02-26 |
| 1720452535 | Bridget Walsh | Chiropractor | 735 Orchard Ave, Apt 6, Bellevue, PA 15202-3048 | 2015-11-17 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.