Active NPI
Jonathan Janmin Chung, D.C.
- Chiropractor
- Lake Worth, FL
National Provider Identifier
1356661615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10016
- Practice address
- 8808 Palomino Dr
Lake Worth, FL 33467-1119 - Phone
- (954) 649-4507
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10016 | FL | Primary |
Addresses
Primary practice location
8808 Palomino Dr
Lake Worth, FL 33467-1119
Mailing address
8808 Palomino Dr
Lake Worth, FL 33467-1119
Phone (954) 649-4507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131016001884 | FL | Practitioner - Chiropractic | 3971737453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1356661615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8808 PALOMINO DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671119",
"telephone_number": "954-649-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8808 PALOMINO DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671119",
"telephone_number": "954-649-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JONATHAN",
"middle_name": "JANMIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.