Yjp Spine Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

YJP SPINE CENTER LLC

Doing business as

The Back Center Chiropractic

Practice address

4920 W Thunderbird Rd Ste 112
Glendale, AZ 85306-4906

Phone

(623) 487-3444

NPI assigned

Aug 1, 2020

Organization subpart

No

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

Authorized official

Name

Yunjae ParkNPI 1366953200

Title

President

Phone

(224) 628-0733

Specialties & licenses 1

Addresses

Other names 1

• The Back Center 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.

• Yunjae Park, DC

  • Chiropractor
  • Glendale, AZ
  • NPI 1366953200
  NPD Authorized official

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1174133490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD STE 112",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064906",
            "telephone_number": "623-487-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD STE 112",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064906",
            "telephone_number": "623-487-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 S Dobson Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852023920",
            "country_code": "US",
            "telephone_number": "480-461-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YJP SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YUNJAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-628-0733"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back Center Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Back Center Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoe Yeo
• Angela Yeon, OTR/L
• Oscar Noe Yepiz Rios
• Vladimir V Yevseyenkov, OD, PHD
• Jana L. Yingst, RN
• Elieza Yonan, DMD
• Robert Dukjun Yoo, D.O.
• Eunice Yoon, MD
• Michelle Ho Yoshimoto, OD
• Aubrey Young, D.M.D.

• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.