Park Clinic of Manual Medicine, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11709 Issued in TX

Legal business name

PARK CLINIC OF MANUAL MEDICINE, INC.

Practice address

4601 Old Shepard PL
Ste 401a
Plano, TX 75093-5279

Phone

(214) 799-6582

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jang Won Park, DC

Title

Owner

Phone

(214) 799-6582

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1225476203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "STE 401A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "214-799-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "STE 401A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "214-799-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CLINIC OF MANUAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANG WON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-799-6582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "#2 NPI",
            "identifier": "1225476203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "# 1 NPI",
            "identifier": "1639419757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menaka Parikh, PT
• Rushi Rutesh Parikh, D.O.
• Trupti Parikh, PHARMACIST
• Park Ambulatory Surgery Center, LLC
• Park Central Imaging LLC
• Park Ventura Endoscopy Center, LLC
• Park Way Eye Care, PLLC
• David I Park, M.D.
• Jangwon Park, D.C.
• Jongwoo Joseph Park, DDS

• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.