Yechan Moon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010921 Issued in GA

Practice address

1630 Pleasant Hill Rd Ste 230
Duluth, GA 30096-5828

Phone

(678) 924-3434

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aica Orthopedics, P.C.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1841708682
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1679284210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD STE 230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965828",
            "telephone_number": "678-924-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD STE 230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965828",
            "telephone_number": "678-924-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "YECHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Moodie, RBT
• Moody Surgical Associates, LLC
• Lisa Carolyn Moody, M.D.
• Angela Moon, DPM
• Ha Young Moon, RPH
• Youn Jin Moon
• Elizabeth M Moore, CNS
• Emma Moore
• Geraldine L Moore, ARNP
• Marlott Moore

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.