Jeong Jun Su, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13311 Issued in TX

Practice address

3434 W Illinois Ave Ste 118
Dallas, TX 75211-8797

Phone

(214) 339-9111

NPI assigned

Dec 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Parsa Diagnostics

  • Chiropractor
  • Dallas, TX
  • NPI 1265818165
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1790229557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CHAPEL OAKS DR UNIT 202",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194736",
            "telephone_number": "972-598-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118797",
            "telephone_number": "214-339-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JEONG JUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Styles by Angie K, LLC
• Sydney Nicole Styron, FNP-C
• Emily Styslinger
• Amanda Emmeline Su, MD
• Charlie Chung-Yih Su, M.S.
• Malcolm Su
• Shan Su
• Ana Karen Suarez Garza, DDS
• Megan Ann Suarez Mas, CRNA
• Erica Suarez

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.