Active NPI
Min Koo Kang, D.C.
- Chiropractor
- Fairfax, VA
National Provider Identifier
1750534277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556856
- Practice address
- 9514 Route 29 Ste B
Fairfax, VA 22031-2303 - Phone
- (703) 359-6262
- Fax
- (703) 359-6263
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556856 | VA | Primary |
Addresses
Primary practice location
9514 Route 29 Ste B
Fairfax, VA 22031-2303
Mailing address
9514 Route 29 Ste B
Fairfax, VA 22031-2303
Phone (703) 359-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9514 Blenheim Blvd
Fairfax, VA 22031-2303
Phone (703) 359-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7976 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Gonstead Chiropractic Clinic PLLC | Chiropractor | Current | Accepting new patients |
| Rapha Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
| Integrity Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1750534277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9514 ROUTE 29 STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312303",
"telephone_number": "703-359-6262",
"fax_number": "703-359-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9514 ROUTE 29 STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312303",
"telephone_number": "703-359-6262",
"fax_number": "703-359-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MIN KOO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.