Core Pain & Wellness Center LLC
NPI 1417620659ActiveOrganization· Chiropractor· Fairfax, VA
Chiropractor in Fairfax, Virginia, registered in NPPES in July 2021. The authorized official on file is Peter Taejoo Jeong, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417620659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2021 |
| Last updated in NPPES | Jul 25, 2021 |
| Certified by provider | Jul 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
Other Chiropractor providers in Fairfax
- 1629680079
- 1457942989
- 1598916561
- 1841686953
- 1811334881
- 1770752826
- 1508287350
- 1508203654
- 1689737611
- 1265914246
- 1235236381
- 1639838741