Ultimate Spine Health & Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ULTIMATE SPINE HEALTH & CHIROPRACTIC

Practice address

3900 University Dr Ste 100
Fairfax, VA 22030-2513

Phone

(571) 253-5539

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By 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. Cheon Gyu Park, DCNPI 1649699109

Title

Chiropractor

Phone

(571) 253-5539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Cheon Gyu Park, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1649699109

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1376318519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302513",
            "telephone_number": "571-253-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302513",
            "telephone_number": "571-253-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SPINE HEALTH & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHEON GYU",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "571-253-5539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence C Udoff, MD
• Shanika Udumalagala
• Akiko Ueda-Zecca
• Elizabeth E Uffelman, M.ED, NCC
• Miguel Ugalde
• Tae Won Um, R.PH
• Wonsik Um, L.AC
• Matthew Umbrell
• United Doctors Inc
• United Medical Supplies Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.