NPIMap

Organization Active NPI

Dr. Yong H Jung, LTD

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1295149508
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01053 Issued in NV
Legal business name
DR. YONG H JUNG, LTD
Practice address
5755 S Rainbow Blvd
Suite 101
Las Vegas, NV 89118-2534
Phone
(702) 331-1333
Fax
(702) 331-0808
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Dr. Kiet Michael Lam, D.C.
Title
Associate Doctor
Phone
(702) 354-5581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B01053 NV Primary
Health Service Clinic/Center 261QH0100X B01053 NV

Addresses

Primary practice location

5755 S Rainbow Blvd
Suite 101
Las Vegas, NV 89118-2534

Mailing address

5755 S Rainbow Blvd
Suite 101
Las Vegas, NV 89118-2534
Phone (702) 331-1333

Other names 1

  • SUMMIT PAIN CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Yong H Jung LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1295149508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 S RAINBOW BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182534",
            "telephone_number": "702-331-1333",
            "fax_number": "702-331-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 S RAINBOW BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182534",
            "telephone_number": "702-331-1333",
            "fax_number": "702-331-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. YONG H JUNG, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KIET",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE DOCTOR",
        "authorized_official_telephone_number": "702-354-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01053",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "B01053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT PAIN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.