Individual provider Active NPI

Young-Kyu Ryu, D.C.

  • Chiropractor
  • Johns Creek, GA
National Provider Identifier
1437297900
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009437 Issued in GA
Practice address
6290 Abbotts Bridge Rd Ste 204
Johns Creek, GA 30097-1750
Phone
(770) 559-4236
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009437 GA Primary

Addresses

Primary practice location

6290 Abbotts Bridge Rd Ste 204
Johns Creek, GA 30097-1750

Mailing address

6290 Abbotts Bridge Rd Ste 204
Johns Creek, GA 30097-1750
Phone (770) 559-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009437GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JL Health Center LLC Chiropractor CurrentSince Dec 22, 2019 Accepting new patients
Carefree Land Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

6290 Abbotts Bridge Rd
Ste 204
Johns Creek, GA 30097
Phone (678) 475-0009

Organizations & group practices 2

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1437297900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 204",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "770-559-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 204",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "770-559-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "YOUNG-KYU",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.