Organization Active NPI

Clear Chiropractic PC

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1255274189
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEAR CHIROPRACTIC PC
Practice address
1320 Louis Nine Blvd
Bronx, NY 10459-1535
Phone
(347) 862-0003
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Jongdug Park, DCNPI 1962759365
Title
President
Phone
(917) 830-5115

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 Primary

Addresses

Primary practice location

1320 Louis Nine Blvd
Bronx, NY 10459-1535

Mailing address

1320 Louis Nine Blvd
Bronx, NY 10459-1535

National Provider Directory

National Provider Directory

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": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1255274189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LOUIS NINE BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104591535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LOUIS NINE BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104591535",
            "telephone_number": "347-862-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JONGDUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-830-5115",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.