Active NPI
Kim Chiropractic & Rehab Center - Elkins Park Inc
- Chiropractor
- Elkins Park, PA
National Provider Identifier
1013108778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC
- Practice address
- 921 W Cheltenham Ave
Elkins Park, PA 19027-3208 - Phone
- (215) 782-1235
- Fax
- (215) 782-1239
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jhan D Kim, L.AC., D.C.
- Title
- Doctor
- Phone
- (267) 342-0178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X |
Addresses
Primary practice location
921 W Cheltenham Ave
Elkins Park, PA 19027-3208
Mailing address
921 W Cheltenham Ave
Elkins Park, PA 19027-3208
Phone (215) 782-1235
Other practice location 1
7301 Mountain Avenue
Elkins Park, PA 19027
Phone (215) 782-1237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1400 Willow Ave
Ste B1
Elkins Park, PA 19027
Phone (215) 635-1160
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Elkins Park, PA
- NPI 1174872501
-
- Chiropractor
- Blue Bell, PA
- NPI 1437124104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1013108778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190273208",
"telephone_number": "215-782-1235",
"fax_number": "215-782-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190273208",
"telephone_number": "215-782-1235",
"fax_number": "215-782-1239"
}
],
"practiceLocations": [
{
"address_1": "7301 Mountain Avenue",
"address_purpose": "LOCATION",
"city": "Elkins Park",
"state": "PA",
"postal_code": "19027",
"country_code": "US",
"telephone_number": "215-782-1237",
"fax_number": "215-782-1239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JHAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "267-342-0178",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "L.AC., D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.