Active NPI
Jee Won Suh, DC
- Chiropractor
- San Jose, CA
National Provider Identifier
1871155291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC33759
- Practice address
- 1645 Willow St Ste 100
San Jose, CA 95125-5112 - Phone
- (408) 264-4216
- Fax
- (408) 445-8065
- NPI assigned
- Jul 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC33759 | CA | Primary |
Addresses
Primary practice location
1645 Willow St Ste 100
San Jose, CA 95125-5112
Mailing address
1645 Willow St Ste 100
San Jose, CA 95125-5112
Phone (408) 264-4216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33759 | CA | MD | Marriage & Family Therapist |
| DC33759 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1871155291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 WILLOW ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255112",
"telephone_number": "408-264-4216",
"fax_number": "408-445-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 WILLOW ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255112",
"telephone_number": "408-264-4216",
"fax_number": "408-445-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "JEE WON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC33759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.