Individual provider Active NPI

Junsub Shin, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1780563973
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16626 Issued in TX
Practice address
2901 Wilcrest Dr Ste 140
Houston, TX 77042-3393
Phone
(832) 925-6004
NPI assigned
Sep 1, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16626 TX Primary

Addresses

Primary practice location

2901 Wilcrest Dr Ste 140
Houston, TX 77042-3393

Mailing address

2033 S Gessner Rd Apt 4408
Houston, TX 77063-1175
Phone (213) 200-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16305 Dovetail Way
Spring Hill, FL 34610-6517

2901 Wilcrest Dr
Suite 140
Houston, TX 77042-3393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Chiropractic & Wellness PLLC Chiropractor CurrentSince Sep 8, 2025 Accepting new patients
B & M Spring Chiropractic LLC Chiropractor PastSince Oct 15, 2019 Accepting new patients

Locations

2901 Wilcrest Dr
Ste 140
Houston, TX 77042
Phone (832) 288-7872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1780563973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 S GESSNER RD APT 4408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631175",
            "telephone_number": "213-200-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WILCREST DR STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423393",
            "telephone_number": "832-925-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JUNSUB",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.