Individual provider Active NPI

Jong Hee Cho, D.C.

  • Chiropractor
  • Fairfax, VA
National Provider Identifier
1619075330
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556321 Issued in VA
Practice address
10680 Main St
Suite 275
Fairfax, VA 22030-3810
Phone
(703) 539-8822
Fax
(703) 539-8862
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556321 VA Primary

Addresses

Primary practice location

10680 Main St
Suite 275
Fairfax, VA 22030-3810

Mailing address

10680 Main St
Suite 275
Fairfax, VA 22030-3810
Phone (703) 539-8822

Other identifiers 5

IdentifierTypeStateIssuer
2136022OtherVAUNITED HEALTH CARE
254884OtherVAKAISER
671263OtherVAACN NUMBER
718260OtherVANCPPO
176309OtherVAANTHEM BS/BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000997 DC Practitioner - Chiropractic 1052352721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10680 Main St
Suite 275
Fairfax, VA 22030-3812
Phone (703) 539-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556321VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chang Advanced Chiropractic P.C. Chiropractor Past Accepting new patients
Chang Advanced Chiropractic P.C. Chiropractor PastSince Dec 28, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1619075330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST",
            "address_2": "SUITE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303810",
            "telephone_number": "703-539-8822",
            "fax_number": "703-539-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST",
            "address_2": "SUITE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303810",
            "telephone_number": "703-539-8822",
            "fax_number": "703-539-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JONG HEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2136022",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "254884",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN NUMBER",
            "identifier": "671263",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "718260",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS/BC",
            "identifier": "176309",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.