Individual provider Active NPI

Jennifer Lung, D.C.

  • Chiropractor
  • Wake Forest, NC
National Provider Identifier
1093108482
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4545 Issued in NC
Practice address
12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512
Phone
(919) 245-7358
Fax
(919) 263-1711
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 4545 NC Primary

Addresses

Primary practice location

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512

Mailing address

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512
Phone (919) 245-7358

Other identifiers 1

IdentifierTypeStateIssuer
4545OtherNCNORTH CAROLINA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4545NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Chiropractic PLLC Chiropractor CurrentSince Jun 8, 2025 Accepting new patients
Body in Balance Chiropractic Chiropractor Past Accepting new patients

Locations

12339 Wake Union Church Rd
Ste 102
Wake Forest, NC 27587
Phone (574) 276-3801

Organizations & group practices 2

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1093108482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512",
            "telephone_number": "919-245-7358",
            "fax_number": "919-263-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512",
            "telephone_number": "919-245-7358",
            "fax_number": "919-263-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "JENNIFER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA LICENSE NUMBER",
            "identifier": "4545",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.