NPIMap

Organization Active NPI

Jeong Chiropractic

  • Chiropractor
  • Chantilly, VA
National Provider Identifier
1386994077
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556735 Issued in VA
Legal business name
JEONG CHIROPRACTIC
Practice address
14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000
Phone
(703) 467-0177
Fax
(571) 308-2559
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Taejoo Jeong, D.C.
Title
President
Phone
(703) 467-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556735 VA Primary

Addresses

Primary practice location

14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000

Mailing address

14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000
Phone (703) 467-0177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1386994077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 SULLYFIELD CIR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514000",
            "telephone_number": "703-467-0177",
            "fax_number": "571-308-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 SULLYFIELD CIR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514000",
            "telephone_number": "703-467-0177",
            "fax_number": "571-308-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "TAEJOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-467-0177",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.