Individual provider Active NPI

Min Ho Yun, D.C.

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1013201706
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556755 Issued in VA
Practice address
5105A Backlick Rd
Annandale, VA 22003-6005
Phone
(571) 425-5523
Fax
(703) 642-1507
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556755 VA Primary

Addresses

Primary practice location

5105A Backlick Rd
Annandale, VA 22003-6005

Mailing address

9346 Tartan View Dr
Fairfax, VA 22032-1206
Phone (571) 425-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221123000517 VA Practitioner - Chiropractic 4385012384 Reassigns benefits to 1 organization
I20231228002964 DC Practitioner - Chiropractic 4385012384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5105 A Backlick Rd
Annandale, VA 22003-6005
Phone (703) 642-8685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapaedic Physical Therapy CurrentSince Nov 11, 2022 Accepting new patients
Min Chiropractic LLC Chiropractor CurrentSince Mar 23, 2025 Accepting new patients
International Medical Center, Inc PastSince Dec 1, 2009 Accepting new patients
Positively Chiropractic and Dynamic Kinesiology Chiropractor Past Accepting new patients

Locations

5105A Backlick Rd
Annandale, VA 22003
Phone (703) 642-8527

5105A Backlick Rd
Rm 5
Annandale, VA 22003

5800 Mapledale Plz
Woodbridge, VA 22193
Phone (703) 670-0067

Networks

  • KY PPO C-SNP
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • KY PPO
  • TN PPO C-SNP
  • TN PPO

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1013201706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9346 TARTAN VIEW DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321206",
            "telephone_number": "571-425-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105A BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "571-425-5523",
            "fax_number": "703-642-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "MIN",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.

Verify at the official NPI Registry.