Active NPI
Gun Chung, DC
- Chiropractor
- Clarksville, TN
National Provider Identifier
1962514489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1939
- Practice address
- 2130 Fort Campbell Blvd
Suite 2
Clarksville, TN 37042 - Phone
- (931) 221-0200
- Fax
- (931) 552-9400
- NPI assigned
- Aug 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1939 | TN | Primary |
| Chiropractor | 111N00000X | 7370 | GA |
Addresses
Primary practice location
2130 Fort Campbell Blvd
Suite 2
Clarksville, TN 37042
Mailing address
PO Box 20172
Clarksville, TN 37042
Phone (931) 221-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5067328 | Other | TN | CIGNA |
| 4126537 | Other | TN | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7370 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962514489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20172",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37042",
"telephone_number": "931-221-0200",
"fax_number": "931-552-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 FORT CAMPBELL BLVD",
"address_2": "SUITE 2",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37042",
"telephone_number": "931-221-0200",
"fax_number": "931-552-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "GUN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1939",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "7370",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5067328",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4126537",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.