Active NPI
Susan L. Chung, D.C.
- Orthopedic Chiropractor
- Oklahoma City, OK
National Provider Identifier
1639242647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 3139
- Practice address
- 7000 NW Expressway St
Suite H
Oklahoma City, OK 73132-3514 - Phone
- (405) 773-1113
- Fax
- (405) 773-1114
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 3139 | OK | Primary |
Addresses
Primary practice location
7000 NW Expressway St
Suite H
Oklahoma City, OK 73132-3514
Mailing address
7000 NW Expressway St
Suite H
Oklahoma City, OK 73132-3514
Phone (405) 773-1113
Other names 1
- Dr. Susan L. Chung-Waggoner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5500 NW Expressway St
Suite C
Warr Acres, OK 73132-5218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chung & Waggoner Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Oklahoma City, OK
- NPI 1750406724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639242647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 NW EXPRESSWAY ST",
"address_2": "SUITE H",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323514",
"telephone_number": "405-773-1113",
"fax_number": "405-773-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 NW EXPRESSWAY ST",
"address_2": "SUITE H",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323514",
"telephone_number": "405-773-1113",
"fax_number": "405-773-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SUSAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OK",
"license": "3139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CHUNG-WAGGONER",
"middle_name": "L.",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.