T & J Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556321 Issued in VA

Legal business name

T & J CHIROPRACTIC INC

Doing business as

Active Care Chiropractic & Acupuncture

Practice address

10680 Main St
Suite 275
Fairfax, VA 22030-3810

Phone

(703) 539-8822

Fax

(703) 539-8862

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jong Hee Cho, DCNPI 1619075330

Title

President

Phone

(703) 539-8822

Specialties & licenses 2

Addresses

Other names 1

• Active Care Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong Hee Cho, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1619075330

  DC

  Medicare reassignment Authorized official
• Cheon Gyu Park, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1649699109
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1467690743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST",
            "address_2": "SUITE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303810",
            "telephone_number": "703-539-8822",
            "fax_number": "703-539-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST",
            "address_2": "SUITE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303810",
            "telephone_number": "703-539-8822",
            "fax_number": "703-539-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & J CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JONG HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-539-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556321",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0104556321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Care Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.