Organization Active NPI

JP Chiropractic & Posture, LLC

  • Chiropractor
  • Matthews, NC
National Provider Identifier
1992857155
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3352 Issued in NC
Legal business name
JP CHIROPRACTIC & POSTURE, LLC
Practice address
101 E Matthews St
Suite 700
Matthews, NC 28105-4866
Phone
(704) 841-1701
Fax
(704) 841-1596
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeongpil Park, D.C.NPI 1780656546
Title
President
Phone
(704) 841-1701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3352 NC Primary

Addresses

Primary practice location

101 E Matthews St
Suite 700
Matthews, NC 28105-4866

Mailing address

101 E Matthews St
Suite 700
Matthews, NC 28105-4866
Phone (704) 841-1701

Other identifiers 1

IdentifierTypeStateIssuer
5902382MedicaidNC

National Provider Directory

National Provider Directory

Locations

101 E Matthews St
Ste 700
Matthews, NC 28105
Phone (704) 841-0871

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1992857155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 700",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-841-1701",
            "fax_number": "704-841-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 700",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-841-1701",
            "fax_number": "704-841-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP CHIROPRACTIC & POSTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JEONGPIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902382",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.