Ki Won Chang, D.C. FIAMA.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556012 Issued in VA

Practice address

7004-C Little River Turnpike
Annandale, VA 22003-3201

Phone

(703) 916-0303

Fax

(703) 658-4881

NPI assigned

Sep 21, 2006

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Chang Advanced Chiropractic P.C.

  • Chiropractor
  • Annandale, VA
  • NPI 1740389329

  DC

  Medicare reassignment Authorized official
• Chang Advanced Chiropractic P.C.

  • Chiropractor
  • Annandale, VA
  • NPI 1689806861
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831298413",
    "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": {
        "last_name": "CHANG",
        "first_name": "KI WON",
        "name_prefix": "Dr.",
        "credential": "D.C. FIAMA.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2135960",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "241137",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "277952",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "520891",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "665262",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2237420",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC/BS",
            "identifier": "G492-0001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yeohye Chai
• Louise Kay Chamberlin, MS, CCC-SLP, ATP
• Chang Advanced Chiropractic P.C.
• Chang Advanced Chiropractic P.C.
• Emily Chang, L.AC
• Sophia Chang, NP
• Young Jai Chang, L.AC
• Silvia Carolina Chavez, C.O.T.A.
• Shara Mae Sison Chen, PA-C
• Johnson CHI-Hin Cheng, D.D.S.

• Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.