Joo Yong Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32052 Issued in CA

Practice address

4959 Palo Verde St Ste 100B
Montclair, CA 91763-2339

Phone

(909) 626-7100

NPI assigned

Dec 20, 2011

Last updated

Jun 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J Kim Chiropractic Corporation

  dba DK Spine Chiros

  • Chiropractor
  • Fullerton, CA
  • NPI 1275200438
  NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1013286038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE",
            "address_2": "STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "310-415-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 100B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632339",
            "telephone_number": "909-626-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOO YONG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahram Khorrami, M.D.
• Akinkunmi Adekunle Kilanko
• Sharae Nakia Kilgore
• Jessica Jaehee Kim, PA-C
• John Kim, DO
• Joon Myung Kim, DC
• Marlyn Kim, BCBA
• Aneysha Kimble
• Chelsea Nicole King
• Kylie Kirkwood

• Chiropractor in Montclair, CA
• Providers in Montclair, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.