Hae Yong Chung, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557012 Issued in VA

Practice address

7002 Little River Tpke
Suite F
Annandale, VA 22003-3200

Phone

(703) 941-2225

Fax

(703) 941-2224

NPI assigned

Apr 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports and Family Chiropractic of VA

  • Chiropractor
  • Annandale, VA
  • NPI 1841538444
  NPD (past) Authorized official

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1154647709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 LITTLE RIVER TPKE",
            "address_2": "SUITE F",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033200",
            "telephone_number": "703-941-2225",
            "fax_number": "703-941-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 LITTLE RIVER TPKE",
            "address_2": "SUITE F",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033200",
            "telephone_number": "703-941-2225",
            "fax_number": "703-941-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HAE YONG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4598-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011601",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ji Woong Choi, DDS
• Eunsil Choi, PTA
• Jiho Choi, M.D.
• Christina H Chon, O.D.
• Won Cho Chong, O.M.D.
• Heather Haeyoung Chung, FNP-C
• Elizabeth Land Clark, MS-SLP
• Claros Dental Care, PC
• CM Prasad MD PC (Crossroads Professional Counseling)
• Jacqueline E Coleman

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

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