Individual provider Active NPI

Sangwoo Danny Park, DC

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1295397982
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557587 Issued in VA
Practice address
2300 N Pershing Dr Ste 307
Arlington, VA 22201-1428
Phone
(703) 525-5800
Fax
(703) 525-5802
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557587 VA Primary

Addresses

Primary practice location

2300 N Pershing Dr Ste 307
Arlington, VA 22201-1428

Mailing address

2300 N Pershing Dr Ste 307
Arlington, VA 22201-1428
Phone (703) 525-5800

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Fairfax Other
Other URL Arlington

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104557587VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Park PC Chiropractor CurrentSince Mar 12, 2024 Accepting new patients

Locations

2300 N Pershing Dr
Ste 307
Arlington, VA 22201
Phone (703) 525-5800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1295397982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR STE 307",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "703-525-5800",
            "fax_number": "703-525-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR STE 307",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "703-525-5800",
            "fax_number": "703-525-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANGWOO",
        "middle_name": "DANNY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fairfax",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fairfax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fairfax",
            "address_1": "10721 Main St Ste 1500",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220306910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "address_1": "2300 N Pershing Dr Ste 307",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222011428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.