Young Ho Bok, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018032970 Issued in MO

Practice address

522 N New Ballas Rd Ste 121
Creve Coeur, MO 63141-6820

Phone

(636) 575-9982

NPI assigned

Oct 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Grounded Health Chiropractic LLC

  • Clinic/Center
  • Creve Coeur, MO
  • NPI 1538722269
  NPD Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1376019992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 YOUNG RD",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630695470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 121",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "636-575-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOK",
        "first_name": "YOUNG HO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2584",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018032970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Dean Birkenmeier, D.C.
• Aaron Benjamin Bitzer
• Bodavula MD LLC
• Richard Boehm, DDS, MS
• Jacqueline Diane Bogard, DC
• David Gerard Boland, M.ED., L.P.C.
• Jaclyn Bolzenius, M. A.
• Bradley Elliott Borello, OD
• Abby Christine Boron, SLP
• Ramona Georgeta Bosma, D.M.D.

• All providers in Creve Coeur, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.