Organization Active NPI

Semihan Chiropractic Clinic Inc.

  • Chiropractor
  • Hurst, TX
National Provider Identifier
1609106681
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11256 Issued in TX
Legal business name
SEMIHAN CHIROPRACTIC CLINIC INC.
Practice address
900 W Pipeline Rd
Hurst, TX 76053-4818
Phone
(817) 590-8002
Fax
(817) 590-8002
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Sang Jun Baek, D.C.
Title
President
Phone
(817) 590-8002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11256 TX Primary

Addresses

Primary practice location

900 W Pipeline Rd
Hurst, TX 76053-4818

Mailing address

900 W Pipeline Rd
Hurst, TX 76053-4818
Phone (817) 590-8002

Other identifiers 1

IdentifierTypeStateIssuer
11256OtherTXCHIROPRACTIC LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1507 E Sandy Lake Rd
Ste 140
Coppell, TX 75019
Phone (214) 412-4285

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1609106681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W PIPELINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534818",
            "telephone_number": "817-590-8002",
            "fax_number": "817-590-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W PIPELINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534818",
            "telephone_number": "817-590-8002",
            "fax_number": "817-590-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMIHAN CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-590-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NUMBER",
            "identifier": "11256",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.