Active NPI
Taelyong Lio Hwangbo, DC
- Chiropractor
- Smyrna, GA
National Provider Identifier
1548905193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010664
- Practice address
- 3513 Belridge LN SE
Smyrna, GA 30080-1629 - Phone
- (334) 379-7191
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010664 | GA | Primary |
Addresses
Primary practice location
3513 Belridge LN SE
Smyrna, GA 30080-1629
Mailing address
3513 Belridge LN SE
Smyrna, GA 30080-1629
Phone (334) 379-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010664 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1548905193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 BELRIDGE LN SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801629",
"telephone_number": "334-379-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3513 BELRIDGE LN SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801629",
"telephone_number": "334-379-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANGBO",
"first_name": "TAELYONG",
"middle_name": "LIO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.