Tig LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557226 Issued in VA

Legal business name

TIG LLC

Doing business as

Primary Health Center

Practice address

7360 McWhorter PL Ste 100
Annandale, VA 22003-5633

Phone

(703) 354-8111

Fax

(703) 354-8108

NPI assigned

Jun 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyungwook Moon, D.C.NPI 1528454774

Title

Owner

Phone

(703) 354-8111

Specialties & licenses 1

Addresses

Other names 1

• PRIMARY HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyung Wook Moon, D.C.

  • Chiropractor
  • Annandale, VA
  • NPI 1528454774

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356871461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 MCWHORTER PL STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035633",
            "telephone_number": "703-354-8111",
            "fax_number": "703-354-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 MCWHORTER PL STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035633",
            "telephone_number": "703-354-8111",
            "fax_number": "703-354-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KYUNGWOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-354-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle A Thompson
• Megghan K Thompson, LPC, NCC
• Linda Thong, LCSW
• Corey Thornton, LCSW
• Jessica Tibbetts, LCSW
• Joseph John Timmes Jr., M.D., F.A.C.S.,LTD
• Jessica Kim To-Alemanji, PT, DPT
• Jennifer To, PHARMD
• Karen To, PSYD
• Patricia Tobar Mazariegos

• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.