Organization Active NPI

Jung Chiropractic Corporation

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1508019498
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25977 Issued in CA
Legal business name
JUNG CHIROPRACTIC CORPORATION
Practice address
520 N Brookhurst St
102
Anaheim, CA 92801-5227
Phone
(714) 817-9500
Fax
(714) 817-9555
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Peter S Jung, D.C.NPI 1578648358
Title
President
Phone
(714) 817-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC25977 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT34512 CA

Addresses

Primary practice location

520 N Brookhurst St
102
Anaheim, CA 92801-5227

Mailing address

520 N Brookhurst St
102
Anaheim, CA 92801-5227
Phone (714) 817-9500

National Provider Directory

National Provider Directory

Locations

520 N Brookhurst St
Ste 102
Anaheim, CA 92801
Phone (714) 817-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1508019498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST",
            "address_2": "102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015227",
            "telephone_number": "714-817-9500",
            "fax_number": "714-817-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST",
            "address_2": "102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015227",
            "telephone_number": "714-817-9500",
            "fax_number": "714-817-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-817-9500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25977",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.