Yunjae Park, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8946 Issued in AZ

Practice address

4920 W Thunderbird Rd Ste 112
Glendale, AZ 85306-4906

Phone

(623) 487-3444

NPI assigned

Oct 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yjp Spine Center LLC

  dba The Back Center Chiropractic

  • Chiropractor
  • Glendale, AZ
  • NPI 1174133490
  NPD Authorized official
• Healing Park Wellness, Inc.

  • Chiropractor
  • Chicago, IL
  • NPI 1275166647
  NPD (past) Authorized official
• Pain Stop Wellness Inc.

  • Chiropractor
  • Chicago, IL
  • NPI 1437557980
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1366953200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD STE 112",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064906",
            "telephone_number": "623-487-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD STE 112",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064906",
            "telephone_number": "623-487-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 S Dobson Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852023920",
            "country_code": "US",
            "telephone_number": "480-461-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "YUNJAE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurnesia Parham
• Park Avenue Obstetrics and Gynecology PC
• Arial Park, LMT
• Il-Lyuck Lyuck Park, M.D.
• Jessica Park, O.D.
• Brian Parker
• Cherish McBride Parker
• David B Parker III, MD
• Katie Elizabeth Parker
• Keri Parker, PHARMD

• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.