Active NPI
Hyungsik Yoon
- Chiropractor
- Germantown, MD
National Provider Identifier
1346554847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03547
- Practice address
- 20030 Century Blvd
Ste # 203
Germantown, MD 20874-1111 - Phone
- (240) 246-7786
- Fax
- (240) 246-7815
- NPI assigned
- Jul 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03547 | MD | Primary |
| Chiropractor | 111N00000X | 0104556592 | VA |
Addresses
Primary practice location
20030 Century Blvd
Ste # 203
Germantown, MD 20874-1111
Mailing address
20030 Century Blvd
Ste # 203
Germantown, MD 20874-1111
Phone (240) 246-7786
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773591 | Other | MD | OPTUM |
| S829 | Other | MD | CAREFIRST |
| 9629632 | Other | MD | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Texas Tech University Health Science Center School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20030 Century Blvd
Suite 203
Germantown, MD 20874-1196
Phone (240) 246-7786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556592 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yoon Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
20030 Century Blvd
Ste 203
Germantown, MD 20874
Phone (240) 246-7786
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": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1346554847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20030 CENTURY BLVD",
"address_2": "STE # 203",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741111",
"telephone_number": "240-246-7786",
"fax_number": "240-246-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20030 CENTURY BLVD",
"address_2": "STE # 203",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741111",
"telephone_number": "240-246-7786",
"fax_number": "240-246-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "HYUNGSIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03547",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556592",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "773591",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "S829",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9629632",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.