Jeong Chiropractic Center,PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03677 Issued in MD

Legal business name

JEONG CHIROPRACTIC CENTER,PLLC

Doing business as

Jeong Wellness Chiropractic

Practice address

3459 Saint Johns LN Ste 2
Ellicott City, MD 21042-4025

Phone

(410) 461-5695

Fax

(410) 461-5496

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wookeun Jeong, D.CNPI 1851401087

Title

Owner/Doctor

Phone

(410) 461-5695

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeong Wellness Chiropractic Doing business as

Locations

Practitioners 1

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

• Wookeun Jeong, DC

  • Chiropractor
  • Ellicott City, MD
  • NPI 1851401087
  NPD (past) Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1164615308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN STE 2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424025",
            "telephone_number": "410-461-5695",
            "fax_number": "410-461-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN STE 2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424025",
            "telephone_number": "410-461-5695",
            "fax_number": "410-461-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONG CHIROPRACTIC CENTER,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "WOOKEUN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "410-461-5695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeong Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannine E. George DPM PC.
• Kourtney T Jeffers, LCPC
• Jeffrey R. Kaplan M.D. LLC
• Paige Kylie Jennings
• Jennum O'Hara Acupuncture, LLC
• Jeong Wellness Chiropractic, Inc. (Jeong Wellness Chiropractic)
• Wookeun Jeong, DC
• Jermany and Associates, P.a.
• Mertine R. Jermany, M.D.
• Jerry T. Lawler PHD Psychologist LLC

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.