Active NPI
Young Ae Han, D.C.
- Chiropractor
- Duluth, GA
National Provider Identifier
1639512940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006887
- Practice address
- 3312 Peachtree Industrial Blvd
Suite 6
Duluth, GA 30096-8100 - Phone
- (404) 392-7592
- Fax
- (678) 547-3814
- NPI assigned
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR006887 | GA | Primary |
Addresses
Primary practice location
3312 Peachtree Industrial Blvd
Suite 6
Duluth, GA 30096-8100
Mailing address
1302 Barlaston Circle
Suite 6
Marietta, GA 30062-8100
Phone (404) 392-7592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006887 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1639512940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 BARLASTON CIRCLE",
"address_2": "SUITE 6",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628100",
"telephone_number": "404-392-7592",
"fax_number": "678-547-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE 6",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968100",
"telephone_number": "404-392-7592",
"fax_number": "678-547-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "YOUNG AE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.