Active NPI
Ji Hyung Yoo, DC
- Chiropractor
- Herndon, VA
National Provider Identifier
1356421689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556197
- Practice address
- 459 Herndon Pkwy
Suite 15
Herndon, VA 20170-6220 - Phone
- (703) 787-3850
- Fax
- (703) 787-3851
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556197 | VA | Primary |
Addresses
Primary practice location
459 Herndon Pkwy
Suite 15
Herndon, VA 20170-6220
Mailing address
171 Elden St Ste 3A3
Herndon, VA 20170-4869
Phone (703) 787-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556197 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1356421689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 ELDEN ST STE 3A3",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704869",
"telephone_number": "703-787-3850",
"fax_number": "703-787-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 HERNDON PKWY",
"address_2": "SUITE 15",
"city": "HERNDON",
"state": "VA",
"postal_code": "201706220",
"telephone_number": "703-787-3850",
"fax_number": "703-787-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "JI",
"middle_name": "HYUNG",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.