Individual provider Active NPI

Kum Hui Lim-Krakos

  • Chiropractor
  • Springfield, VA
National Provider Identifier
1063448397
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001821 Issued in VA
Practice address
6120 Brandon Ave
Suite 203
Springfield, VA 22150-2522
Phone
(703) 644-2222
Fax
(703) 644-2488
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001821 VA Primary

Addresses

Primary practice location

6120 Brandon Ave
Suite 203
Springfield, VA 22150-2522

Mailing address

6120 Brandon Ave
Suite 203
Springfield, VA 22150-2522
Phone (703) 644-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000497 DC Practitioner - Chiropractic 3577598259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Spine Arts CenterGroup PAC ID 5395770069, 2 clinicians

Practice addresses (Care Compare)

6120 Brandon Ave
Suite 203
Springfield, VA 22150-2504
Phone (703) 644-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001821VAMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1063448397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-644-2222",
            "fax_number": "703-644-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-644-2222",
            "fax_number": "703-644-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM-KRAKOS",
        "first_name": "KUM HUI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.