Sung-Jun Park, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556502 Issued in VA

Practice address

8133 Leesburg Pike
Suite 360
Vienna, VA 22182-2706

Phone

(703) 992-8992

Fax

(703) 992-8180

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Trinity Chiropractic Wellness Center, Inc.

  • Preferred Provider Organization
  • Vienna, VA
  • NPI 1609054949
  NPD (past) Authorized official
• Young M Kim Corporation

  • Family Medicine Physician
  • Westchester, IL
  • NPI 1497701254

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1720191133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-992-8992",
            "fax_number": "703-992-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-992-8992",
            "fax_number": "703-992-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG-JUN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556502",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haoyun W Park, L.AC
• James K Park, M.D., PH.D.
• Jesoon Helmsley Park, L.AC
• Si-Woon Park, DDS
• Su Ji Park
• Yunsoo Park, PH.D.
• Latosha Parker
• Annalisa M. Parks, M.D.
• Deborah Rumore Parks, M.A., CCC-SLP
• Forough Parvizian-Yazdani, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.