Active NPI
Chang Advanced Chiropractic P.C.
- Chiropractor
- Annandale, VA
National Provider Identifier
1740389329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556012
- Legal business name
- CHANG ADVANCED CHIROPRACTIC P.C.
- Practice address
- 7004-C Little River Turnpike
Annandale, VA 22003-3201 - Phone
- (703) 916-0303
- Fax
- (703) 658-4881
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ki Won Chang, D.C. FIAMA.
- Title
- President
- Phone
- (703) 916-0303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556012 | VA | Primary |
| Chiropractor | 111N00000X | 0104556321 | VA |
Addresses
Primary practice location
7004-C Little River Turnpike
Annandale, VA 22003-3201
Mailing address
7004-C Little River Turnpike
Annandale, VA 22003-3201
Phone (703) 916-0303
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135960 | Other | VA | KI WON CHANG UNITEDHEALTH |
| 2136022 | Other | VA | JONG HEE CHO UNITEDHEALTH |
| 2237420 | Other | VA | KI WON CHANG FIRST HEALTH |
| 671263 | Other | VA | JONG HEE CHO ACN GROUP |
| 665262 | Other | VA | KI WON CHANG ACN GROUP |
| 176309 | Other | VA | JONG HEE CHO ANTHEM |
| G492-0001 | Other | VA | KI WON CHANG CAREFIRST |
| 241137 | Other | VA | KI WON CHANG KAISER |
| 277952 | Other | VA | KI WON CHANG ANTHEM |
| 520891 | Other | VA | KI WON CHANG NCPPO |
| 718260 | Other | VA | JONG HEE CHO NCPPO |
| 254884 | Other | VA | JONG HEE CHO KAISER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Chang Advanced Chiropractic PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Annandale, VA
- NPI 1689806861
Locations
7004 Little River Tpke
Ste C
Annandale, VA 22003
Phone (703) 916-0303
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- Fairfax, VA
- NPI 1619075330
-
- Acupuncturist
- Annandale, VA
- NPI 1881865723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1740389329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004-C LITTLE RIVER TURNPIKE",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033201",
"telephone_number": "703-916-0303",
"fax_number": "703-658-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7004-C LITTLE RIVER TURNPIKE",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033201",
"telephone_number": "703-916-0303",
"fax_number": "703-658-4881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANG ADVANCED CHIROPRACTIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "KI WON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-916-0303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C. FIAMA."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556012",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556321",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG UNITEDHEALTH",
"identifier": "2135960",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONG HEE CHO UNITEDHEALTH",
"identifier": "2136022",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG FIRST HEALTH",
"identifier": "2237420",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONG HEE CHO ACN GROUP",
"identifier": "671263",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG ACN GROUP",
"identifier": "665262",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONG HEE CHO ANTHEM",
"identifier": "176309",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG CAREFIRST",
"identifier": "G492-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG KAISER",
"identifier": "241137",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG ANTHEM",
"identifier": "277952",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KI WON CHANG NCPPO",
"identifier": "520891",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONG HEE CHO NCPPO",
"identifier": "718260",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONG HEE CHO KAISER",
"identifier": "254884",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
- 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
- Silvia Carolina Chavez, C.O.T.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.