Active NPI
Jiin Park, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1669988705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12319
- Practice address
- 2020 E Robinson St
Orlando, FL 32803-6045 - Phone
- (408) 234-3524
- NPI assigned
- Dec 27, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12319 | FL | Primary |
Addresses
Primary practice location
2020 E Robinson St
Orlando, FL 32803-6045
Mailing address
2020 E Robinson St
Orlando, FL 32803-6045
Phone (408) 234-3524
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12319 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1669988705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E ROBINSON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328036045",
"telephone_number": "408-234-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E ROBINSON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328036045",
"telephone_number": "408-234-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JIIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.