NPIMap

Organization Active NPI

Sung Yang DC, PC

  • Chiropractor
  • Doraville, GA
National Provider Identifier
1376736702
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006876 Issued in GA
Legal business name
SUNG YANG DC, PC
Practice address
5715 Buford Hwy NE
Suite 204
Doraville, GA 30340-1229
Phone
(770) 451-4011
Fax
(770) 451-1065
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Sung H Yang, D.C.NPI 1043403462
Title
President
Phone
(770) 451-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006876 GA Primary

Addresses

Primary practice location

5715 Buford Hwy NE
Suite 204
Doraville, GA 30340-1229

Mailing address

5715 Buford Hwy NE
Suite 204
Doraville, GA 30340-1229
Phone (770) 451-4011

Other identifiers 2

IdentifierTypeStateIssuer
9150110OtherGAPHCS
650378OtherGAACN GROUP

Other names 1

  • KIM FAMILY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

5715 Buford Hwy NE
Ste 204
Doraville, GA 30340
Phone (770) 451-4011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1376736702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 BUFORD HWY NE",
            "address_2": "SUITE 204",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401229",
            "telephone_number": "770-451-4011",
            "fax_number": "770-451-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 BUFORD HWY NE",
            "address_2": "SUITE 204",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401229",
            "telephone_number": "770-451-4011",
            "fax_number": "770-451-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG YANG DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-451-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9150110",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "650378",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIM FAMILY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.