Individual provider Active NPI

Jacob HK Min, DC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1326216987
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03534 Issued in MD
Practice address
2000 Veirs Mill Rd Ste a
Rockville, MD 20851-1801
Phone
(301) 279-6960
Fax
(301) 279-6962
NPI assigned
Feb 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03534 MD Primary

Addresses

Primary practice location

2000 Veirs Mill Rd Ste a
Rockville, MD 20851-1801

Mailing address

2000 Veirs Mill Rd Ste a
Rockville, MD 20851-1801
Phone (301) 279-6960

Other practice location 1

611 Rockville Pike Ste 150
Rockville, MD 20852-6205
Phone (301) 279-6960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923000503 DC Practitioner - Chiropractic 9335456730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Veirs Mill Rd
Suite a
Rockville, MD 20851-1801
Phone (301) 279-6960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1326216987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VEIRS MILL RD STE A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511801",
            "telephone_number": "301-279-6960",
            "fax_number": "301-279-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VEIRS MILL RD STE A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511801",
            "telephone_number": "301-279-6960",
            "fax_number": "301-279-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Rockville Pike Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208526205",
            "country_code": "US",
            "telephone_number": "301-279-6960",
            "fax_number": "301-279-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIN",
        "first_name": "JACOB",
        "middle_name": "HK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.