Individual provider Active NPI

Soong H Ahn, DC

  • Chiropractor
  • Plainfield, IN
National Provider Identifier
1477511277
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002191A Issued in 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
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002191A IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000134 IN Practitioner - Chiropractic 6305868670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 9133141492, 2 clinicians

Practice addresses (Care Compare)

1660 E Main St
Suite 103
Plainfield, IN 46168-1863
Phone (317) 839-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002191AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health 1St Chiropractic of Plainfield Inc. Chiropractor CurrentSince Mar 1, 2005 Accepting new patients
Health First Physical Therapy, Inc Chiropractor PastSince Mar 1, 2005 Accepting new patients
Community Arts Chiropractic Chiropractor PastSince Mar 1, 2005 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1477511277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681863",
            "telephone_number": "317-839-6686",
            "fax_number": "317-839-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682811",
            "telephone_number": "317-839-6686",
            "fax_number": "317-839-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SOONG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002191A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.