Active NPI
Sungmin Hong, DC
- Chiropractor
- Lees Summit, MO
National Provider Identifier
1972015360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2017032088
- Practice address
- 731 NE Lakewood Blvd
Lees Summit, MO 64064-1353 - Phone
- (816) 373-3373
- NPI assigned
- Oct 25, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | MO | ||
| Chiropractor | 111N00000X | 2017032088 | MO | Primary |
Addresses
Primary practice location
731 NE Lakewood Blvd
Lees Summit, MO 64064-1353
Mailing address
12308 Crystal Ave
Grandview, MO 64030-2083
Phone (314) 914-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230106425 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
731 NE Lakewood Blvd
Lees Summit, MO 64064-1353
Phone (816) 373-3373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| Lohan Chiropractic and Acupuncture Clinic LLC | Chiropractor | Past | Accepting new patients |
| Lakewood Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
731 N E Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373
731 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lees Summit, MO
- NPI 1447478706
-
- Chiropractor
- Lee'S Summit, MO
- NPI 1407398365
-
- Chiropractor
- Kansas City, MO
- NPI 1720333834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1972015360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12308 CRYSTAL AVE",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640302083",
"telephone_number": "314-914-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 NE LAKEWOOD BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641353",
"telephone_number": "816-373-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "SUNGMIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-25",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2017032088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230106425",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.