Kyung Wook Moon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557226 Issued in VA

Practice address

7360 McWhorter PL
Suite 100
Annandale, VA 22003-5633

Phone

(703) 354-8111

NPI assigned

Apr 14, 2015

Last updated

May 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tig LLC

  dba Primary Health Center

  • Chiropractor
  • Annandale, VA
  • NPI 1356871461

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1528454774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 HIGHCLIFFE CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034354",
            "telephone_number": "615-477-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 MCWHORTER PL",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035633",
            "telephone_number": "703-354-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "KYUNG WOOK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misuk Kim MD OBGYN PLC
• Becky M Mohning, MS, RD, LD
• Monica Hayward
• Julie A Montgomery, MA, NCC, LPC
• Judith Montville-White, LCSW
• Jeneen Moore, M.S.CCC-SLP
• Madison Moore, DMD
• Adrian Mora
• Lindsay Christine Mora, MS, OTR/L
• Lorena Morris, RN

• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.