DR. SANGJUN BAEK (NPI# 1467625681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467625681 |
| Entity Type | Individual |
| Full Name | DR. SANGJUN BAEK |
| Credential | D.C. |
| Practice Address |
1507 E Sandy Lake Rd Ste 140 Coppell TX 75019-3108 |
| Practice Telephone | 2144124285 |
| Practice Fax Number | 9723931006 |
| Mailing Telephone | 2144124285 |
| Mailing Fax Number | 9723931006 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11256 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038011146 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OPTUM HEALTH | 720409 | 01 |
| Street Address |
1507 E SANDY LAKE RD STE 140 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553318 | Richard Elton Davis | Chiropractor | 641 Phillips Dr, Coppell, TX 75019-6059 | 2020-06-24 |
| 1588187942 | Texas Gonstead Family Chiropractic Inc | Chiropractor | 230 N Denton Tap Rd Ste 112, Coppell, TX 75019 | 2017-07-18 |
| 1497276109 | Solmari Gonzalez Rivera | Chiropractor | 3260 Scotch Creek Rd Unit 310, Coppell, TX 75019-4990 | 2017-07-03 |
| 1356872345 | Angela Perini | Chiropractor | 804 Ashford Dr, Coppell, TX 75019-2820 | 2017-03-22 |
| 1760814065 | Pedro Gonzales | Chiropractor | 777 Fairway Dr Apt 217, Coppell, TX 75019-6783 | 2013-08-08 |
| 1508104548 | Optimize Living Lp | Chiropractor | 760 N Denton Tap Rd Ste 160, Coppell, TX 75019-2167 | 2013-01-25 |
| 1427356591 | Core Activated Rehab L.L.C. | Chiropractor | 801 Hammond St. Suite 100, Coppell, TX 75019 | 2011-03-14 |
| 1497060081 | Derek Dustin Frye | Chiropractor | 670 N Macarthur Blvd # 100, Coppell, TX 75019 | 2010-08-09 |
| 1033347042 | Cara Lynn Hall | Chiropractor | 215 S Denton Tap Rd Ste 285, Coppell, TX 75019-5064 | 2009-06-29 |
| 1639353477 | Carpenter Family Chiropractic P.C. | Chiropractor | 549 E Sandy Lake Rd, Ste 200, Coppell, TX 75019-2015 | 2007-12-27 |
| Find all providers in COPPELL | ||||
Please comment or provide details below to improve the information on DR. SANGJUN BAEK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.