Organization Active NPI

Min Chiropractic & Rehabilitation LLC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1346644994
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03534 Issued in MD
Legal business name
MIN CHIROPRACTIC & REHABILITATION LLC
Practice address
611 Rockville Pike Ste 150
Rockville, MD 20852-6205
Phone
(301) 279-6960
Fax
(301) 279-6962
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Hyungk Min
Title
Owner
Phone
(301) 279-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 03534 MD Primary

Addresses

Primary practice location

611 Rockville Pike Ste 150
Rockville, MD 20852-6205

Mailing address

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
O20150923000326 DC Part B Supplier - Clinic/Group Practice 5597079996 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1346644994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROCKVILLE PIKE STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208526205",
            "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": "611 ROCKVILLE PIKE STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208526205",
            "telephone_number": "301-279-6960",
            "fax_number": "301-279-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN CHIROPRACTIC & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "HYUNGK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-279-6960"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.