Individual provider Active NPI

Susan L. Chung, D.C.

  • Orthopedic Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1639242647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
3139 Issued in OK
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew patients
Chung & Waggoner Health Center, Inc PastSince Mar 1, 1999 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.

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.

Verify at the official NPI Registry.