Kingsley R Chin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME90952 Issued in FL

Practice address

3816 Hollywood Blvd Ste 102
Hollywood, FL 33021-6750

Phone

(954) 640-6010

Fax

(855) 411-4647

NPI assigned

Jun 30, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kingsleychin@asjh.medalliesdirect.net

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

• Arizona Spine and Joint Hospital LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1396745832
  NPD
• Imis PLLC

  • Specialist
  • West Palm Beach, FL
  • NPI 1942449061
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1023046521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W OAKLAND PARK BLVD",
            "address_2": "SUITE #3",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111612",
            "telephone_number": "561-822-2960",
            "fax_number": "877-647-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-640-6010",
            "fax_number": "855-411-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KINGSLEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10203200",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME90952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Diagnostic Testing Group of Broward, Inc.
• Childrens Center for Gastroenterology & Nutrition, PA
• Childrens Hearing Associates Inc
• Childrens Medical Center
• Mark Derrick Chin-Lenn, M.D.
• Ramon A Chiong, DO
• Rodolfo E. Chirinos, MD
• Chiro Worx Injury Center of Hollywood LLC
• Chiro-Medical Associates of Hollywood, Inc.
• Chirocare of Cooper City, LLC

• Orthopaedic Surgery Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.