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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ULTIMATE SPINE HEALTH & CHIROPRACTIC
NPI 1376318519
Chiropractor in Fairfax, VA

Active since November 17, 2023
3900 UNIVERSITY DR STE 100, FAIRFAX, VA 22030(571) 513-7070(571) 556-7075 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ultimate Spine Health & Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ULTIMATE SPINE HEALTH & CHIROPRACTIC (NPI 1376318519) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since November 2023. The organization lists Cheon Gyu Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1376318519
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameULTIMATE SPINE HEALTH & CHIROPRACTIC
Location Address3900 UNIVERSITY DR STE 100Fairfax, VA 22030-2513
Mailing Address3900 University Dr Ste 100Fairfax, VA 22030-2513 · (571) 513-7070 · Fax (571) 556-7075
Phone(571) 513-7070
Fax(571) 556-7075
Organization SubpartNo
Authorized OfficialCheon Gyu ParkOwner · (571) 513-7070
Enumeration DateNovember 17, 2023
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1376318519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3900 UNIVERSITY DR STE 100, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ultimate Spine Health & Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ultimate Spine Health & Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cheon Gyu Park, D.C.
Chiropractic
NPI 1649699109
3900 UNIVERSITY DR STE 100
Fairfax, VA 22030
(571) 513-7070
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ultimate Spine Health & Chiropractic's NPI number?

The NPI number for Ultimate Spine Health & Chiropractic is 1376318519. It was assigned to this organization in the NPPES registry on November 17, 2023.

Where is Ultimate Spine Health & Chiropractic located?

Ultimate Spine Health & Chiropractic is located at 3900 University Dr Ste 100, Fairfax, VA 22030. The listed phone number is (571) 513-7070.

What is Ultimate Spine Health & Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ultimate Spine Health & Chiropractic enrolled in Medicare?

Yes. Ultimate Spine Health & Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ultimate Spine Health & Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ultimate Spine Health & Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ultimate Spine Health & Chiropractic was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.