Active NPI
Jason Pisha Chung, ACUPUNCTURIST
- Acupuncturist
- Aurora, CO
National Provider Identifier
1306053541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 848
- Practice address
- 2323 S Troy Street
Suite 2-105
Aurora, CO 80014 - Phone
- (720) 207-8495
- Fax
- (303) 337-2305
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 848 | CO | Primary |
Addresses
Primary practice location
2323 S Troy Street
Suite 2-105
Aurora, CO 80014
Mailing address
14603 E 13TH Circle
Aurora, CO 80011
Phone (720) 207-8495
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
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prolific Chiropractic, P.C. | Past | Accepting new patients |
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.
-
- Chiropractor
- Aurora, CO
- NPI 1225067929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306053541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14603 E 13TH CIRCLE",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "720-207-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 S TROY STREET",
"address_2": "SUITE 2-105",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "720-207-8495",
"fax_number": "303-337-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JASON",
"middle_name": "PISHA",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.