Individual provider Active NPI

David Jung, D.C.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1285729608
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5419 Issued in CO
Practice address
9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454
Phone
(720) 489-6040
Fax
(720) 489-6063
NPI assigned
Oct 3, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5419 CO Primary

Addresses

Primary practice location

9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454

Mailing address

9085 E Mineral Cir Ste 290
Centennial, CO 80112-3454
Phone (720) 489-6040

Other identifiers 1

IdentifierTypeStateIssuer
1093904682OtherCONPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000346 CO Practitioner - Chiropractic 9638076318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

122 W 29TH St
Loveland, CO 80538-6334
Phone (720) 489-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5419COMDAddiction (Substance Use Disorder) Counselor
3628OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jung Spinal Care PC Chiropractor CurrentSince Apr 15, 2003 Accepting new patients

Locations

7600 E Arapahoe Rd
Ste 106
Centennial, CO 80112
Phone (720) 489-6040

9085 E Mineral Cir
Ste 290
Centennial, CO 80112
Phone (720) 489-6040

122 W 29th St
Loveland, CO 80538
Phone (720) 489-6040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1285729608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123454",
            "telephone_number": "720-489-6040",
            "fax_number": "720-489-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123454",
            "telephone_number": "720-489-6040",
            "fax_number": "720-489-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093904682",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.