Individual provider Active NPI

Yunchin Tang-Huston, D.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1215380399
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012981 Issued in IL
Practice address
1523 47TH Ave
Moline, IL 61265-7089
Phone
(563) 271-9944
Fax
(309) 644-4448
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012981 IL Primary

Addresses

Primary practice location

1523 47TH Ave
Moline, IL 61265-7089

Mailing address

1523 47TH Ave
Moline, IL 61265-7089
Phone (563) 271-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012981ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1215380399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 47TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657089",
            "telephone_number": "563-271-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 47TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657089",
            "telephone_number": "563-271-9944",
            "fax_number": "309-644-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG-HUSTON",
        "first_name": "YUNCHIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.