Individual provider Active NPI

Hyunsuk Oh, D.C.

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1386944163
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03635 Issued in MD
Practice address
8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147
Phone
(410) 964-3229
Fax
(410) 964-9671
NPI assigned
Oct 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03635 MD Primary

Addresses

Primary practice location

8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147

Mailing address

8835 Columbia 100 Pkwy
Suite D
Columbia, MD 21045-2147
Phone (410) 964-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815001558 CA Practitioner - Chiropractic 4981888500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3053 W Olympic Blvd
Suite 203
Los Angeles, CA 90006-2558
Phone (213) 384-3830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03635MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hyunsuk Oh Chiropractic Inc Chiropractor CurrentSince Apr 3, 2019 Accepting new patients
Dr Hyun Chul Kim Chiropractic Inc Chiropractor Past Accepting new patients
Columbia Advanced Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

3053 W Olympic Blvd
Ste 203
Los Angeles, CA 90006
Phone (213) 384-3830

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1386944163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 COLUMBIA 100 PKWY",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452147",
            "telephone_number": "410-964-3229",
            "fax_number": "410-964-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 COLUMBIA 100 PKWY",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452147",
            "telephone_number": "410-964-3229",
            "fax_number": "410-964-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "HYUNSUK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.