On Joong Shin, D.C./L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010111 Issued in GA

Practice address

6290 Abbotts Bridge Rd Ste 102
Johns Creek, GA 30097-1750

Phone

(470) 299-5063

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. On Joong Shin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1508057829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 102",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "470-299-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 102",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "470-299-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ON JOONG",
        "credential": "D.C./L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "437",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ON JOONG",
            "last_name": "SHIN",
            "prefix": "DR.",
            "credential": "D.C./L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shaquanta Shelley, LAPC
• Kemberly Shiobhan Sheridan, LPC
• Jeanie Witcraft Shiau, LCSW
• Seong Sool Shim, MD
• Shimley Enterprises, LLC
• Kaveh Shokoufi Moghiman, D.M.D
• Christopher Ross Sholota, DDS
• Basirat Oladunni Shomuyiwa
• David R. Shore, RPH.
• Cally Taylor Short, APC

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.