NPIMap

Organization Active NPI

Trinity Chiropractic Wellness Center, Inc.

  • Preferred Provider Organization
  • Vienna, VA
National Provider Identifier
1609054949
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0104556502 Issued in VA
Legal business name
TRINITY CHIROPRACTIC WELLNESS CENTER, INC.
Practice address
8133 Leesburg Pike
Suite 360
Vienna, VA 22182-2706
Phone
(703) 992-8992
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Sung-Jun Park, D.C.NPI 1720191133
Title
President
Phone
(703) 992-8992

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0104556502 VA Primary

Addresses

Primary practice location

8133 Leesburg Pike
Suite 360
Vienna, VA 22182-2706

Mailing address

8133 Leesburg Pike
Suite 360
Vienna, VA 22182-2706
Phone (703) 992-8992

National Provider Directory

National Provider Directory

Locations

8133 Leesburg Pike
Ste 360
Vienna, VA 22182
Phone (703) 992-8992

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1609054949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-992-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-992-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CHIROPRACTIC WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG-JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-992-8992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0104556502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.