Organization Active NPI

Yoon Chiropractic, LLC

  • Chiropractor
  • Germantown, MD
National Provider Identifier
1174958086
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03547 Issued in MD
Legal business name
YOON CHIROPRACTIC, LLC
Practice address
20030 Century Blvd Ste 203
Germantown, MD 20874-1196
Phone
(240) 246-7786
Fax
(240) 246-7815
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Hyung Sik YoonNPI 1346554847
Title
Member/ Owner
Phone
(301) 875-8083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S03547 MD Primary

Addresses

Primary practice location

20030 Century Blvd Ste 203
Germantown, MD 20874-1196

Mailing address

20030 Century Blvd Ste 203
Germantown, MD 20874-1196
Phone (240) 246-7786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140731001187 DC Part B Supplier - Clinic/Group Practice 6103042981 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

20030 Century Blvd
Ste 203
Germantown, MD 20874
Phone (240) 246-7786

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1174958086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20030 CENTURY BLVD STE 203",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741196",
            "telephone_number": "240-246-7786",
            "fax_number": "240-246-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20030 CENTURY BLVD STE 203",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741196",
            "telephone_number": "240-246-7786",
            "fax_number": "240-246-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "HYUNG SIK",
        "authorized_official_title_or_position": "MEMBER/ OWNER",
        "authorized_official_telephone_number": "301-875-8083"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.