Active NPI
Hyun Jip Kim, D.C.
- Chiropractor
- Santa Clara, CA
National Provider Identifier
1104097450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30776
- Practice address
- 3400 El Camino Real
Suite #1
Santa Clara, CA 95051-2842 - Phone
- (408) 261-2289
- Fax
- (408) 261-2290
- NPI assigned
- Mar 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30776 | CA | Primary |
Addresses
Primary practice location
3400 El Camino Real
Suite #1
Santa Clara, CA 95051-2842
Mailing address
3400 El Camino Real
Suite #1
Santa Clara, CA 95051-2842
Phone (408) 261-2289
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30776 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane Kim and Hyun Kim Chiropractic Corporation | Chiropractor | 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
- Santa Clara, CA
- NPI 1033384789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1104097450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 EL CAMINO REAL",
"address_2": "SUITE #1",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512842",
"telephone_number": "408-261-2289",
"fax_number": "408-261-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 EL CAMINO REAL",
"address_2": "SUITE #1",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512842",
"telephone_number": "408-261-2289",
"fax_number": "408-261-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYUN",
"middle_name": "JIP",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.