Individual provider Active NPI

Nyeongsig Oh, DC

  • Chiropractor
  • Sykesville, MD
National Provider Identifier
1316446743
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03959 Issued in MD
Practice address
1645 Liberty Rd Ste 101
Sykesville, MD 21784-6537
Phone
(443) 355-6413
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03959 MD Primary

Addresses

Primary practice location

1645 Liberty Rd Ste 101
Sykesville, MD 21784-6537

Mailing address

1645 Liberty Rd Ste 101
Sykesville, MD 21784-6537
Phone (443) 355-6413

Other practice location 1

9192 Red Branch Rd Ste 200
Columbia, MD 21045-2082
Phone (240) 223-2500

Other practice location 2

9020 Old Georgetown Rd
Bethesda, MD 20814-1514
Phone (240) 223-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428001202 MD Practitioner - Chiropractic 1254749419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1645 Liberty Rd
Sykesville, MD 21784-6521
Phone (443) 355-6413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Family Chiropractic LLC Chiropractor CurrentSince Jan 12, 2021 Accepting new patients
Sang'S Spine and Rehab Center, Inc Chiropractor Past Accepting new patients

Locations

1645 Liberty Rd
Ste 101
Sykesville, MD 21784
Phone (410) 982-7172

Organizations & group practices 2

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1316446743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 101",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846537",
            "telephone_number": "443-355-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 101",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846537",
            "telephone_number": "443-355-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9192 Red Branch Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452082",
            "country_code": "US",
            "telephone_number": "240-223-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141514",
            "country_code": "US",
            "telephone_number": "240-223-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "NYEONGSIG",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.