Active NPI
CTL Chiropractic Clinic LLC
- Chiropractor
- Lansdale, PA
National Provider Identifier
1063744597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009954
- Legal business name
- CTL CHIROPRACTIC CLINIC LLC
- Practice address
- 213 N Broad St Ste 6
Lansdale, PA 19446-2443 - Phone
- (215) 767-7490
- Fax
- (267) 263-2994
- NPI assigned
- Feb 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hyungjin Kim, D.C.
- Title
- Owner/Physician
- Phone
- (215) 767-7490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009954 | PA | Primary |
Addresses
Primary practice location
213 N Broad St Ste 6
Lansdale, PA 19446-2443
Mailing address
213 N. Broad St. Ste 6
Lansdale, PA 19446-2443
Phone (215) 767-7490
National Provider Directory
National Provider DirectoryLocations
213 N Broad St
Ste 6
Lansdale, PA 19446
Phone (215) 767-7490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1063744597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 N. BROAD ST. STE 6",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462443",
"telephone_number": "215-767-7490",
"fax_number": "267-263-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 N BROAD ST STE 6",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462443",
"telephone_number": "215-767-7490",
"fax_number": "267-263-2994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CTL CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYUNGJIN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "215-767-7490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.