Lovespine Chiropractic Clinic II, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104557204 Issued in VA

Legal business name

LOVESPINE CHIROPRACTIC CLINIC II, INC.

Practice address

14161 Robert Paris CT
Suite B
Chantilly, VA 20151-4238

Phone

(703) 429-4622

Fax

(703) 429-4623

NPI assigned

Sep 19, 2014

Organization subpart

Yes

Parent organization

LOVESPINE CHIROPRACTIC CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Dr. Hyung Hoon Lee, D.C.

Title

Vice President

Phone

(703) 429-4622

Specialties & licenses 1

Addresses

Part of

Lovespine Chiropractic Clinic

Locations

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1831591981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14161 ROBERT PARIS CT",
            "address_2": "SUITE B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514238",
            "telephone_number": "703-429-4622",
            "fax_number": "703-429-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14161 ROBERT PARIS CT",
            "address_2": "SUITE B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514238",
            "telephone_number": "703-429-4622",
            "fax_number": "703-429-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVESPINE CHIROPRACTIC CLINIC II, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVESPINE CHIROPRACTIC CLINIC, INC.",
        "enumeration_date": "2014-09-19",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-429-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104557204",
            "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 Feb 8, 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.