Active NPI
Namsik Kim, LIC, ACU
- Acupuncturist
- Yelm, WA
National Provider Identifier
1053466920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002749
- Practice address
- 715 E Yelm Ave Ste 5
Yelm, WA 98597-8714 - Phone
- (360) 458-2225
- Fax
- (360) 458-3663
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00002749 | WA | Primary |
Addresses
Primary practice location
715 E Yelm Ave Ste 5
Yelm, WA 98597-8714
Mailing address
PO Box 1522
Yelm, WA 98597-1522
Phone (360) 458-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00002749 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Chiropractic Wellness Center P.S. Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Yelm, WA
- NPI 1154652311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053466920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1522",
"city": "YELM",
"state": "WA",
"postal_code": "985971522",
"telephone_number": "360-458-2225",
"fax_number": "360-458-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E YELM AVE STE 5",
"city": "YELM",
"state": "WA",
"postal_code": "985978714",
"telephone_number": "360-458-2225",
"fax_number": "360-458-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NAMSIK",
"credential": "LIC, ACU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.