Soojoon Moon, DC,LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557342 Issued in VA

Practice address

8303 Arlington Blvd
Ste 202
Fairfax, VA 22031-2903

Phone

(703) 573-4773

Fax

(703) 573-2252

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1437508736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-4773",
            "fax_number": "703-573-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-4773",
            "fax_number": "703-573-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SOOJOON",
        "name_prefix": "Dr.",
        "credential": "DC,LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Nicole Mook, PHARMD
• Esther Moon
• Jonathan Moon, OTD
• Porsha Moon
• Sarah Moon
• Tara Kristen Moon, RPH
• Younjung Moon
• Alison Joy Moore, PA
• Destini Moore
• Grace Moore, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.