Chung Joon Seo, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5193 Issued in CO

Practice address

11275 E Mississippi Ave
Suite 2S2
Aurora, CO 80012-3263

Phone

(720) 859-9105

Fax

(720) 859-9106

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri Health Clinic Inc

  • Chiropractor
  • Aurora, CO
  • NPI 1235227174
  NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1457449399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE",
            "address_2": "SUITE 2S2",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "720-859-9105",
            "fax_number": "720-859-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE",
            "address_2": "SUITE 2S2",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "720-859-9105",
            "fax_number": "720-859-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "CHUNG",
        "middle_name": "JOON",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5193",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Shuttle
• Joseph D Senn
• Cathryn Senour, MPAS, CHA, PA-C
• Shari Senser, RN
• Amy Sentis
• Gwy Suk Seo, MD
• Eileen Ser
• Kathryn Joy Serbin, MD
• Philip Austin Serbin, MD
• Serenity Hill Health Care PLLC

• Chiropractor in Aurora, CO
• Providers in Aurora, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.