Individual provider Active NPI

Chin-Suk John Cho, D.C, DACBR, RMSK

  • Radiology Chiropractor
  • Havertown, PA
National Provider Identifier
1679695399
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
13616 Issued in TX
Practice address
525 W Chester Pike
Suite #103a
Havertown, PA 19083-4500
Phone
(610) 789-3678
Fax
(610) 789-3679
NPI assigned
Apr 4, 2007
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 13616 TX Primary

Addresses

Primary practice location

525 W Chester Pike
Suite #103a
Havertown, PA 19083-4500

Mailing address

2550 State Hwy 121
Building 2
Lewisville, TX 75067

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

LicenseStateTypeSpecialty
6526COMDAddiction (Substance Use Disorder) Counselor
13616TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inspine CurrentSince Oct 6, 2024 Accepting new patients
Precision Health and Wellness Center LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1679695399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 STATE HWY 121",
            "address_2": "BUILDING 2",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE #103A",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-789-3678",
            "fax_number": "610-789-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "CHIN-SUK",
        "middle_name": "JOHN",
        "credential": "D.C, DACBR, RMSK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "13616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.