Organization Active NPI

Jung Spinal Care PC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1093904682
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5419 Issued in CO
Legal business name
JUNG SPINAL CARE PC
Practice address
9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454
Phone
(720) 489-6040
Fax
(720) 489-6063
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Dr. David Jung, DCNPI 1285729608
Title
Manager
Phone
(720) 489-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5419 CO Primary

Addresses

Primary practice location

9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454

Mailing address

9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454
Phone (720) 489-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031219000099 CO Part B Supplier - Clinic/Group Practice 0749187425 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO; Loveland, CO

National Provider Directory

National Provider Directory

Locations

9085 E Mineral Cir
Ste 290
Centennial, CO 80112
Phone (720) 489-6040

7700 E Arapahoe Rd
Ste 250
Centennial, CO 80112
Phone (720) 489-6040

122 W 29th St
Loveland, CO 80538
Phone (720) 489-6040

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1093904682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123454",
            "telephone_number": "720-489-6040",
            "fax_number": "720-489-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123454",
            "telephone_number": "720-489-6040",
            "fax_number": "720-489-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG SPINAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-489-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.