Youngchul Jang

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557093 Issued in VA

Practice address

13890 Braddock Rd
Suite 200
Centreville, VA 20121-2435

Phone

(703) 830-4422

Fax

(703) 830-4421

NPI assigned

Sep 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Back2Good Chiropractics

  • Chiropractor
  • Centreville, VA
  • NPI 1588138283
  NPD Authorized official
• Carefree Land Chiropractic III, LLC

  • Chiropractor
  • Centreville, VA
  • NPI 1548505423
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1053747543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "703-830-4422",
            "fax_number": "703-830-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "703-830-4422",
            "fax_number": "703-830-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "YOUNGCHUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557093",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramatu Dougray Jalloh, PMHNP
• Asma Jamil, PA-C
• Jan Paul Fruiterman MD & Associates, PC
• Mary Heejoo Jang
• Rachel M Jang, PHARMD
• Rim Jarjour, PHARMACY
• Jeffery S. Ackerman D.D.S. LTD.
• Allison Elizabeth Jennings, PT, DPT
• May Khaled Jerman
• Jim J Soltani, DDS & Associates

• Chiropractor in Centreville, VA
• Providers in Centreville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.