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ON JOONG SHIN D.C./L.AC.
NPI 1508057829
Chiropractor in Johns Creek, GA

Active since August 05, 2007PECOS Enrolled
6290 ABBOTTS BRIDGE RD STE 102, JOHNS CREEK, GA 30097(470) 299-5063 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2024, Jan 26, 2020, Jan 22, 2019 (3 updates tracked since 2019).

About On Joong Shin D.c./l.ac. NPPES

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

ON JOONG SHIN D.C./L.AC. (NPI 1508057829) is an individual chiropractor in Johns Creek, Georgia, licensed in Georgia (CHIR010111) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508057829
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameON JOONG SHINCredential: D.C./L.AC.
Location Address6290 ABBOTTS BRIDGE RD STE 102Johns Creek, GA 30097-1750
Mailing Address6290 Abbotts Bridge Rd Ste 102Johns Creek, GA 30097-1750 · (470) 299-5063
Phone(470) 299-5063
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateMay 5, 20243 updates tracked since enumeration
NPPES CertifiedMay 5, 2024
✔ NPI 1508057829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR010111
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.
Also ListedAcupuncturistTaxonomy 171100000X · License 437 (GA)
6290 ABBOTTS BRIDGE RD STE 102, Johns Creek, GA 30097
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Other Names 1

Professional Name (2)Dr. On Joong Shin D.c./l.ac.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

On Joong Shin D.c./l.ac. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

PLUS CHIROPRACTIC&ACUPUNCTURE CLINIC LLC
Chiropractor
6290 ABBOTTS BRIDGE RD STE 102
JOHNS CREEK, GA 30097
Gwinnett County (470) 299-5063

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 On Joong Shin's NPI number?

The NPI number for On Joong Shin is 1508057829. It was assigned to this individual provider in the NPPES registry on August 5, 2007. The provider is also known as Dr. On Joong Shin D.C./L.Ac..

Where is On Joong Shin located?

On Joong Shin practices at 6290 Abbotts Bridge Rd Ste 102, Johns Creek, GA 30097. The listed phone number is (470) 299-5063.

What is On Joong Shin's specialty?

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

Is On Joong Shin enrolled in Medicare?

Yes. On Joong Shin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for On Joong Shin was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.