NPIMap

Organization Active NPI

John D. Kim PC

Doing business as Chiropractic Healing Center

  • Rehabilitation Clinic/Center
  • Suwanee, GA
National Provider Identifier
1033404066
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
CHIR008162 Issued in GA
Legal business name
JOHN D. KIM PC
Doing business as
Chiropractic Healing Center
Practice address
1299 Old Peachtree Rd NW
Suite # 101
Suwanee, GA 30024-2028
Phone
(770) 882-6666
Fax
(770) 252-6800
NPI assigned
Jun 17, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. DO Young Kim, D.C.NPI 1427245984
Title
Owner
Phone
(770) 882-6666

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CHIR008162 GA Primary
Nutrition Chiropractor 111NN1001X CHIR008162 GA
Orthopedic Chiropractor 111NX0800X CHIR008162 GA
Rehabilitation Chiropractor 111NR0400X CHIR008162 GA

Addresses

Primary practice location

1299 Old Peachtree Rd NW
Suite # 101
Suwanee, GA 30024-2028

Mailing address

1299 Old Peachtree Rd NW
Suite # 101
Suwanee, GA 30024-2028
Phone (770) 882-6666

Other names 1

  • Chiropractic Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

1299 Old Peachtree Rd NW
Ste 101
Suwanee, GA 30024
Phone (770) 882-6666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1033404066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "address_2": "SUITE # 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-882-6666",
            "fax_number": "770-252-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "address_2": "SUITE # 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-882-6666",
            "fax_number": "770-252-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. KIM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DO YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-882-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "CHIR008162",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR008162",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "GA",
            "license": "CHIR008162",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.