Chang Advanced Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556012 Issued in VA

Legal business name

CHANG ADVANCED CHIROPRACTIC P.C.

Practice address

7004 Little River Tpke
Suite C
Annandale, VA 22003-3201

Phone

(703) 916-0303

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Ki Won ChangNPI 1831298413

Title

Clinic President

Phone

(703) 916-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chang Advanced Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chang Advanced Chiropractic P.C.

  • Chiropractor
  • Annandale, VA
  • NPI 1740389329
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ki Won Chang, D.C. FIAMA.

  • Chiropractor
  • Annandale, VA
  • NPI 1831298413
  NPD (past) Authorized official
• Jong Hee Cho, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1619075330
  NPD (past)
• Jung Suk Kim, L.AC

  • Acupuncturist
  • Annandale, VA
  • NPI 1881865723
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1689806861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE",
            "address_2": "SUITE C",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE",
            "address_2": "SUITE C",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201",
            "telephone_number": "703-916-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG ADVANCED CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KI WON",
        "authorized_official_title_or_position": "CLINIC  PRESIDENT",
        "authorized_official_telephone_number": "703-916-0303"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G01094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CCP Virginia Sleepy Hollow, LLC (Sleepy Hollow Health and Rehab)
• Cda Virginia, PLLC (Center for Dentofacial Aesthetics)
• Center for Continence and Pelvic Support PC (Center For Urogynecology and Pelvic Surgery)
• Yeohye Chai
• Louise Kay Chamberlin, MS, CCC-SLP, ATP
• Chang Advanced Chiropractic P.C.
• Emily Chang, L.AC
• Ki Won Chang, D.C. FIAMA.
• Sophia Chang, NP
• Young Jai Chang, L.AC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.