Shin Family Chiropractic & Rehabilitation, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010156 Issued in PA

Legal business name

SHIN FAMILY CHIROPRACTIC & REHABILITATION, P.C.

Practice address

1200 Welsh Rd # F2
North Wales, PA 19454-3771

Phone

(215) 647-2188

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Seungmook Shin, D.C.NPI 1104150077

Title

President

Phone

(215) 647-2188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Seungmook Shin, DC

  • Chiropractor
  • North Wales, PA
  • NPI 1104150077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1013260462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WELSH RD # F2",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543771",
            "telephone_number": "215-647-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WELSH RD # F2",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543771",
            "telephone_number": "215-647-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN FAMILY CHIROPRACTIC & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SEUNGMOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-647-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268736YNPQ",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schwarz Dermatology PLLC
• Emily J Schwarz, M.D., PH.D.
• Samuel Lawrence Semel, RPH
• Lakshman P Setty, B.D.S
• Kelly C Seymour, MS, PA-C
• Seungmook Shin, DC
• Pallavi Shinde, MS
• Marielle Elizabeth Silberman, LCSW
• Laurie Simmonds, OD
• Andrea Foley Sinnamon, D.D.S.

• Chiropractor in North Wales, PA
• Providers in North Wales, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.