Carefree Land Chiropractic III, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557025 Issued in VA

Legal business name

CAREFREE LAND CHIROPRACTIC III, LLC

Practice address

13890 Braddock Rd
Suite 200
Centreville, VA 20121-2435

Phone

(703) 830-4422

Fax

(703) 830-4421

NPI assigned

Dec 4, 2012

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Young S Song, D.C.

Title

Clinic Director

Phone

(703) 830-4422

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youngchul Jang

  • Chiropractor
  • Centreville, VA
  • NPI 1053747543
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1548505423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "703-830-4422",
            "fax_number": "703-830-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 200",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "703-830-4422",
            "fax_number": "703-830-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE LAND CHIROPRACTIC III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "703-830-4422",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557024",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Alexandra Bukovsky
• Michelle Burton, PA-C
• Nicole Cady
• Candace S Cane, CRNP
• Carechoice Chiropractic Clinic, P.C.
• Carepeople Home Health, Inc (CarePeople Home Health & Hospice)
• Careplus Medical LLC
• Adriana C Cartaya Mollejas, DDS
• William H Carter, MD
• Cascades Dental of Centreville

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.