Chiropractic and Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03417 Issued in MD

Legal business name

CHIROPRACTIC AND WELLNESS CENTER INC

Practice address

438 N Frederick Ave Ste 435
Gaithersburg, MD 20877-2562

Phone

(301) 216-2222

NPI assigned

May 10, 2010

Last updated

Oct 1, 2024By 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

Sang Youl YoumNPI 1083753206

Title

President/Chiropractor

Phone

(301) 216-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Sang Youl Youm

  • Rehabilitation Chiropractor
  • Gaithersburg, MD
  • NPI 1083753206

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1750609160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N FREDERICK AVE STE 435",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N FREDERICK AVE STE 435",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772562",
            "telephone_number": "301-216-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "YOUM",
        "authorized_official_first_name": "SANG YOUL",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "301-216-2222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.

Verify at the official NPI Registry.