Bae Chiropractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009086 Issued in NY

Legal business name

BAE CHIROPRACTIC P.C

Practice address

3125 Union St
Flushing, NY 11354-2346

Phone

(718) 445-6477

Fax

(718) 445-6933

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Hak-Soo Bae, D.CNPI 1265525828

Title

President

Phone

(718) 445-6477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hak-Soo Bae, D.C

  • Sports Physician Chiropractor
  • Flushing, NY
  • NPI 1265525828

  NY

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1003969296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAE CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "HAK-SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-445-6477",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roza Badalova
• Zinaida Badalova
• Chardonnay L Badchkam, LMHC
• Vasantha Badhey
• Efrat Badian
• Chibum Bae
• Hak-Soo Bae, D.C
• Junwoo Bae
• Kunil Bae, MD
• Sarah Hyunji Bae, PHYSICIAN ASSISTANT

• All providers in Flushing, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.