Individual provider Active NPI

Evan Hoiyup Chung, D.C., M.S.

  • Chiropractor
  • Catonsville, MD
National Provider Identifier
1689003071
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03815 Issued in MD
Practice address
516 N Rolling Rd
Suite 205
Catonsville, MD 21228-4140
Phone
(443) 315-5223
Fax
(443) 315-5128
NPI assigned
Nov 6, 2013
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012410 NY
Chiropractor 111N00000X S03815 MD Primary

Addresses

Primary practice location

516 N Rolling Rd
Suite 205
Catonsville, MD 21228-4140

Mailing address

516 N Rolling Rd
Suite 205
Catonsville, MD 21228-4140
Phone (410) 747-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721000520 MD Practitioner - Chiropractic 9234354903 Practice locations: Catonsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 205
Catonsville, MD 21228-4187
Phone (410) 747-1578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S03815MDMDChiropractor
X012410NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evan H Chung Chiropractic Chiropractor Current Accepting new patients

Locations

516 N Rolling Rd
Ste 205
Catonsville, MD 21228
Phone (410) 747-1578

Organizations & group practices 1

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1689003071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "SUITE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284140",
            "telephone_number": "410-747-1578",
            "fax_number": "410-747-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "SUITE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284140",
            "telephone_number": "443-315-5223",
            "fax_number": "443-315-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "EVAN",
        "middle_name": "HOIYUP",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012410",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.