Dan Hakjae Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27679 Issued in CA

Practice address

31371 Rancho Viejo Rd Ste 101
San Juan Capistrano, CA 92675-1848

Phone

(949) 240-6196

Fax

(949) 240-9216

NPI assigned

Oct 25, 2006

Last updated

Aug 2, 2022By 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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dan Hakjae Kim, a Professional Chiropractic Corp

  • Chiropractor
  • San Juan Capistrano, CA
  • NPI 1912286238
  Medicare reassignment NPD Authorized official
• Dan Hakjae Kim, a Professional Chiropractic Corporation

  • Chiropractor
  • Norwalk, CA
  • NPI 1336340272
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1053495770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAN",
        "middle_name": "HAKJAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naz Khatiblou, DDS
• Chet Khay, NP
• Kian Masoumi Rdhap Inc
• Clayton Eugene Kibler, MD, MMS
• Joseph Keith Kikumoto, O.D.
• Deisy Kim, MA
• Katharine Sujin Kim
• Michael Jong-Gyu Kim, D.D.S
• Bryan O King, M.D.
• Olutosin Kirya, DTR, CLT

• Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.