Soong H Ahn, DC
Individual provider Active NPI Chiropractor · Plainfield, IN
NPI 1477511277 · NPPES record last updated Apr 26, 2013
Key facts
- NPI
- 1477511277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002191A (IN)
- Practice address
- 1660 E Main St
Suite 103
Plainfield, IN 46168-2811 - Phone
- (317) 839-6686
- Fax
- (317) 839-7247
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health 1St Chiropractic of Plainfield Inc
Practice addresses (Care Compare)
1660 E Main St
Suite 103
Plainfield, IN 46168-1863
Phone (317) 839-6686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060103000134 | IN | Practitioner - Chiropractic | 6305868670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002191A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health 1St Chiropractic of Plainfield Inc. | Chiropractor | Current |
Accepting new patients |
| Community Arts Chiropractic | Chiropractor | Past |
Accepting new patients |
| Health First Physical Therapy, Inc | Chiropractor | Past |
Accepting new patients |
Locations
1708 Melody Ln
Greenfield, IN 46140
Phone (317) 467-6321
6326 Rucker Rd
Ste F
Indianapolis, IN 46220
Phone (317) 253-1644
1660 E Main St
Ste 103
Plainfield, IN 46168
Phone (317) 837-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002191A | IN | Yes |
Addresses
Primary practice location
1660 E Main St
Suite 103
Plainfield, IN 46168-2811
Mailing address
1660 E Main St
Plainfield, IN 46168-1863
Phone (317) 839-6686
Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.