Individual provider Active NPI

Sunu Joseph Kwon, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1164309241
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16377 Issued in TX
Practice address
3251 Tracewood Way Ste 121
Fort Worth, TX 76177-1747
Phone
(817) 886-9600
NPI assigned
Aug 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 16377 TX Primary

Addresses

Primary practice location

3251 Tracewood Way Ste 121
Fort Worth, TX 76177-1747

Mailing address

4913 Plantation LN
Frisco, TX 75035-5106
Phone (469) 432-6878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926001199 TX Practitioner - Chiropractic 1759886039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3251 Tracewood Way
Suite 121
Fort Worth, TX 76177-1747

4913 Plantation LN
Frisco, TX 75035-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16377TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Adry 1 LLC Chiropractor CurrentSince Aug 19, 2025 Accepting new patients

Locations

3251 Tracewood Way
Ste 121
Fort Worth, TX 76177
Phone (817) 886-9600

Organizations & group practices 1

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1164309241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 PLANTATION LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355106",
            "telephone_number": "469-432-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 TRACEWOOD WAY STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771747",
            "telephone_number": "817-886-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "SUNU",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.