Mocurry Chiropractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03894 Issued in MD

Legal business name

MOCURRY CHIROPRACTIC P.C

Practice address

9275 Baltimore National Pike
Ste104
Ellicott City, MD 21042-3943

Phone

(410) 480-0083

Fax

(410) 480-0082

NPI assigned

Oct 11, 2016

Last updated

Oct 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dong Duk Kim, DC

Title

President

Phone

(410) 480-0083

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dong Guk Kim, D.C

  • Chiropractor
  • Ellicott City, MD
  • NPI 1164828208
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1699225912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE",
            "address_2": "STE104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-480-0083",
            "fax_number": "410-480-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE",
            "address_2": "STE104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-480-0083",
            "fax_number": "410-480-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCURRY CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG DUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-480-0083",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raksha Mirchandani
• Pamela Wellington Mist, COTA/L
• MNR Industries, LLC (ExpressCare of Ellicott City)
• Zhen Mo, L. AC.
• Mobile Memory and Health, LLC
• Modarres Dental Group
• Assem Mohamed
• Lawrence Olatunbosun Momodu, PHARMD
• Jessica Montgomery
• Sung Hee Moon, L.AC.

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.