Jeyoung Yun DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556479 Issued in VA

Legal business name

JEYOUNG YUN DC LLC

Practice address

14416 Jefferson Davis Hwy Ste 12
Woodbridge, VA 22191-2890

Phone

(571) 572-3274

NPI assigned

Jul 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeyoung YunNPI 1902870520

Title

President

Phone

(571) 572-3274

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic and Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Jeyoung Yun, D.C

  • Chiropractor
  • Woodbridge, VA
  • NPI 1902870520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1407134166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY STE 12",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912890",
            "telephone_number": "571-572-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY STE 12",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912890",
            "telephone_number": "571-572-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEYOUNG YUN DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "JEYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-572-3274",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.