Sangbum Joo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03901 Issued in MD

Practice address

101 Lakeforest Blvd Ste 395
Gaithersburg, MD 20877-2611

Phone

(919) 402-7551

NPI assigned

Mar 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, DC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668

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.

• Gaithersburg Wellness Center

  • Chiropractor
  • Gaithersburg, MD
  • NPI 1750802831

  DC

  Medicare reassignment NPD Authorized official
• James Craig Sylvia, DC

  • Chiropractor
  • Kinston, NC
  • NPI 1154425460
  Medicare reassignment
• Family Medicine & Rehabilitation Center, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Goldsboro, NC
  • NPI 1457436917
  NPD (past)
• Interventional Pain & Spine Specialists, PLLC

  • Pain Medicine Physician
  • Chester, VA
  • NPI 1275834814
  NPD (past)
• Ju Chiropractic Wellness Center, P.a.

  • Chiropractor
  • Durham, NC
  • NPI 1245423417
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1336480888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKEFOREST BLVD STE 395",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772746",
            "telephone_number": "301-200-8060",
            "fax_number": "301-200-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKEFOREST BLVD STE 395",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772611",
            "telephone_number": "919-402-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10208 Cerny St",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276177884",
            "country_code": "US",
            "telephone_number": "919-402-7551",
            "fax_number": "919-405-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOO",
        "first_name": "SANGBUM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4338",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Sara Lou Jones
• Saabirah Jones
• Shanerra Jones
• Tashae Jones
• Tavian Bre Jones
• Celine D Jordan
• Erin Catherine Joseph-Hamilton, M.A., CCC-SLP
• Tara Teresa Joseph, M.D.
• Taylor Avalon Joseph
• Ira Vikesh Joshi

• Chiropractor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.