Active NPI
Jung Suh
- Chiropractor
- Carrollton, TX
National Provider Identifier
1962224402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15562
- Practice address
- 2240 Marsh LN Ste 100
Carrollton, TX 75006-2697 - Phone
- (214) 294-7246
- NPI assigned
- Oct 28, 2024
- 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 | 15562 | TX | Primary |
Addresses
Primary practice location
2240 Marsh LN Ste 100
Carrollton, TX 75006-2697
Mailing address
8609 N Macarthur Blvd Apt 2006
Irving, TX 75063-4178
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 |
|---|---|---|---|
| 15562 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1962224402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 N MACARTHUR BLVD APT 2006",
"city": "IRVING",
"state": "TX",
"postal_code": "750634178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 MARSH LN STE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062697",
"telephone_number": "214-294-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "JUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.