Organization Active NPI

Ju Chiropractic Wellness Center, P.a.

  • Chiropractor
  • Durham, NC
National Provider Identifier
1245423417
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3228 Issued in NC
Legal business name
JU CHIROPRACTIC WELLNESS CENTER, P.A.
Practice address
2223 E NC Highway 54
Suite K
Durham, NC 27713-5233
Phone
(919) 405-2002
Fax
(919) 405-2005
NPI assigned
Aug 21, 2007
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Sanghyun Ju, D.C.NPI 1366532392
Title
President
Phone
(919) 405-2002

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
Chiropractor 111N00000X 3228 NC Primary

Addresses

Primary practice location

2223 E NC Highway 54
Suite K
Durham, NC 27713-5233

Mailing address

2223 E NC Highway 54
Suite K
Durham, NC 27713-5233
Phone (919) 405-2002

Other identifiers 1

IdentifierTypeStateIssuer
0194LOtherNCCNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000237 NC Part B Supplier - Clinic/Group Practice 1254427008 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

1000 Park Forty Plz
Ste 200
Durham, NC 27713
Phone (919) 405-2002

5314 NC Highway 55
Ste 105
Durham, NC 27713

10208 Cerny St
Ste 205
Raleigh, NC 27617
Phone (919) 402-7551

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1245423417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 E NC HIGHWAY 54",
            "address_2": "SUITE K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135233",
            "telephone_number": "919-405-2002",
            "fax_number": "919-405-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 E NC HIGHWAY 54",
            "address_2": "SUITE K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135233",
            "telephone_number": "919-405-2002",
            "fax_number": "919-405-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JU CHIROPRACTIC WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "SANGHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-405-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "0194L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.