Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cheon Gyu Park, DC

Individual provider Chiropractor · NPI 1649699109

Dr. Cheon Gyu Park, DC is a Chiropractic in Fairfax, Virginia. Graduated from Palmer College Chiropractic - Davenport in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Trained at
Palmer College Chiropractic - Davenport
Licensed in
VA
In the registry since
2014
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3900 University Dr Ste 100
Fairfax, VA 22030-2513
Phone: (571) 253-5539
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104557163 (VA)

Record details

NPI number1649699109
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfax