Individual provider Active NPI

Young Ae Han, D.C.

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1639512940
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006887 Issued in GA
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

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CHIR006887GAMDChiropractor

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.

Verify at the official NPI Registry.