Jungtae Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61690390 Issued in WA

Practice address

3405 188TH St SW Ste 105
Lynnwood, WA 98037-4744

Phone

(425) 775-6767

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1003574013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 188TH ST SW STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374744",
            "telephone_number": "425-775-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 188TH ST SW STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374744",
            "telephone_number": "425-775-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNGTAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61690390",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Ho Kim, EAMP, LAC.
• Jiyoung Kim, ND, LAC
• Jooyong V Kim, RPH
• Jung Kim, RPH
• Jung Hoon Kim, D.D.S.
• Justin Kim
• Nam Hyuk Kim, D.M.D
• Naomi Kim
• Paul Kim, D.A.O.M
• Paul In Yup Choi Kim

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.