Individual provider Active NPI

Yong H Jung, DC MS

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1457452716
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B00880 Issued in NV
Practice address
505 S Decatur Blvd
Las Vegas, NV 89107-3910
Phone
(702) 870-7582
Fax
(702) 870-7583
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00880 NV Primary

Addresses

Primary practice location

505 S Decatur Blvd
Las Vegas, NV 89107-3910

Mailing address

505 S Decatur Blvd
Las Vegas, NV 89107-3910
Phone (702) 870-7582

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
B00880NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyhills Pain Clinic Chiropractor CurrentSince Jul 1, 2002 Accepting new patients
Nam Ill LLC. Chiropractor PastSince Mar 20, 2022 Accepting new patients

Locations

505 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 870-7582

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1457452716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073910",
            "telephone_number": "702-870-7582",
            "fax_number": "702-870-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073910",
            "telephone_number": "702-870-7582",
            "fax_number": "702-870-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "YONG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.