Active NPI
Chanho J Han, DC
- Chiropractor
- New York, NY
National Provider Identifier
1942912597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013676-01
- Practice address
- 42 Broadway Ste 1535
New York, NY 10004-3885 - Phone
- (917) 694-1567
- NPI assigned
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 013676-01 | NY | Primary |
Addresses
Primary practice location
42 Broadway Ste 1535
New York, NY 10004-3885
Mailing address
22403 57TH Ave FL 2
Oakland Gardens, NY 11364-2056
Phone (516) 567-7722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013676-01 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1942912597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22403 57TH AVE FL 2",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642056",
"telephone_number": "516-567-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BROADWAY STE 1535",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100043885",
"telephone_number": "917-694-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "CHANHO",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013676-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.