Cheon Gyu Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557163 Issued in VA

Practice address

3900 University Dr Ste 100
Fairfax, VA 22030-2513

Phone

(571) 253-5539

NPI assigned

Apr 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ultimate Spine Health & Chiropractic

  • Chiropractor
  • Fairfax, VA
  • NPI 1376318519

  DC

  Medicare reassignment NPD Authorized official
• Chiropractic Works2 LLC

  • Chiropractor
  • Towson, MD
  • NPI 1326550419
  Medicare reassignment NPD
• T & J Chiropractic Inc

  • Chiropractor
  • Fairfax, VA
  • NPI 1467690743
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1649699109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302513",
            "telephone_number": "571-253-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302513",
            "telephone_number": "571-253-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHEON GYU",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paramount Care Physicians LLP
• Jasleen Parihar, PSYD
• Kinjal Parikh, MD
• Chan Young Park
• Charles Hee Yong Park, DDS
• Da Yon Park, PA-C
• Daniel Y Park, DPT
• Gina Park
• Heesun Park
• James Park

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.