Seungmook Shin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010156 Issued in PA

Practice address

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

Phone

(215) 647-2188

Fax

(215) 647-2943

NPI assigned

Sep 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Shin Family Chiropractic & Rehabilitation, P.C.

  • Chiropractor
  • North Wales, PA
  • NPI 1013260462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104150077",
    "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",
            "fax_number": "215-647-2943"
        },
        {
            "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",
            "fax_number": "215-647-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SEUNGMOOK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268736YNPQ",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily J Schwarz, M.D., PH.D.
• Samuel Lawrence Semel, RPH
• Lakshman P Setty, B.D.S
• Kelly C Seymour, MS, PA-C
• Shin Family Chiropractic & Rehabilitation, P.C.
• Pallavi Shinde, MS
• Marielle Elizabeth Silberman, LCSW
• Laurie Simmonds, OD
• Andrea Foley Sinnamon, D.D.S.
• SJR DO PC

• 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 Jul 21, 2022; 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.