Centreville Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTREVILLE FAMILY CHIROPRACTIC

Practice address

5900 Centreville Rd Ste 205
Centreville, VA 20121-2425

Phone

(703) 378-1678

Fax

(703) 378-7147

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joosung Park, D.C.NPI 1164504916

Title

Doctor

Phone

(703) 378-1678

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joosung Park, D.C.

  • Chiropractor
  • Centreville, VA
  • NPI 1164504916
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194807958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CENTREVILLE RD STE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-378-1678",
            "fax_number": "703-378-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CENTREVILLE RD STE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-378-1678",
            "fax_number": "703-378-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREVILLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOOSUNG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-378-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Asymmetric Emergency Medicine and Training Services, Inc
• Center for Specialty Care, PLC
• Centreville Children'S Dentistry, PC
• Centreville Chiropractic Center
• Centreville Dental Wellness Center,PC.
• Centreville Family Practice
• Centreville Internal Medicine
• Centreville Medical Practice PLLC
• Centreville Optometry, LLC
• Centreville Pediatric Dentistry PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.