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CORE PAIN & WELLNESS CENTER LLC
NPI 1417620659
Chiropractor in Fairfax, VA

Active since July 25, 2021
10721 MAIN ST STE G7, FAIRFAX, VA 22030(703) 814-6650 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Core Pain & Wellness Center Llc NPPES

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

CORE PAIN & WELLNESS CENTER LLC (NPI 1417620659) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since July 2021. The organization lists Peter Taejoo Jeong, President, as its authorized official.

NPPES Registry Identity

NPI1417620659
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCORE PAIN & WELLNESS CENTER LLC
Location Address10721 MAIN ST STE G7Fairfax, VA 22030-6913
Mailing Address10721 Main St Ste G7Fairfax, VA 22030-6913 · (703) 814-6650
Phone(703) 814-6650
Organization SubpartNo
Authorized OfficialPeter Taejoo JeongPresident · (703) 814-6650
Enumeration DateJuly 25, 2021
NPPES CertifiedJuly 25, 2021
✔ NPI 1417620659 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.
10721 MAIN ST STE G7, Fairfax, VA 22030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYUNGMUN ORIENTAL MEDICINE LLC
Acupuncturist
10721 MAIN ST STE G7
FAIRFAX, VA 22030
Fairfax City (703) 865-7582
PETER TAEJOO JEONG DC
Chiropractor
10721 MAIN ST STE G7
FAIRFAX, VA 22030
Fairfax City (703) 814-6650

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 Core Pain & Wellness Center LLC's NPI number?

The NPI number for Core Pain & Wellness Center LLC is 1417620659. It was assigned to this organization in the NPPES registry on July 25, 2021.

Where is Core Pain & Wellness Center LLC located?

Core Pain & Wellness Center LLC is located at 10721 Main St Ste G7, Fairfax, VA 22030. The listed phone number is (703) 814-6650.

What is Core Pain & Wellness Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Core Pain & Wellness Center LLC was last updated on July 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.