NPIMap

Organization Active NPI

Cloud Chiropractic P.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1457696114
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12153 Issued in NY
Legal business name
CLOUD CHIROPRACTIC P.C.
Practice address
15609 Northern Blvd
FL 1
Flushing, NY 11354-5033
Phone
(718) 888-9900
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Jongdug Park, D.C.
Title
Owner
Phone
(917) 715-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12153 NY Primary

Addresses

Primary practice location

15609 Northern Blvd
FL 1
Flushing, NY 11354-5033

Mailing address

15609 Northern Blvd
FL 1
Flushing, NY 11354-5033

National Provider Directory

National Provider Directory

Locations

15609 Northern Blvd
Fl 1
Flushing, NY 11354
Phone (718) 888-9900

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1457696114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 NORTHERN BLVD",
            "address_2": "FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 NORTHERN BLVD",
            "address_2": "FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033",
            "telephone_number": "718-888-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JONGDUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-715-5115",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.