Organization Active NPI

Your True Chiropractic PC

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1316234917
Registry record updated Jul 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009838 Issued in NY
Legal business name
YOUR TRUE CHIROPRACTIC PC
Practice address
4125 Kissena Blvd Ste 125
Flushing, NY 11355-3130
Phone
(718) 886-3341
Fax
(718) 321-3334
NPI assigned
Jul 2, 2011
Last updated
Jul 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2011

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

Authorized official

Name
Dr. Sang Ho Park, DCNPI 1235164989
Title
President
Phone
(718) 886-3341

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
Chiropractor 111N00000X 009838 NY Primary

Addresses

Primary practice location

4125 Kissena Blvd Ste 125
Flushing, NY 11355-3130

Mailing address

4125 Kissena Blvd Ste 125
Flushing, NY 11355-3130
Phone (718) 886-3341

Other identifiers 1

IdentifierTypeStateIssuer
1235164989OtherNYNPI

National Provider Directory

National Provider Directory

Locations

4125 Kissena Blvd
Ste 125
Flushing, NY 11355
Phone (718) 886-3341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309564800000",
    "number": "1316234917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD STE 125",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553130",
            "telephone_number": "718-886-3341",
            "fax_number": "718-321-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD STE 125",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553130",
            "telephone_number": "718-886-3341",
            "fax_number": "718-321-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR TRUE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-02",
        "last_updated": "2011-07-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235164989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2011; 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.