Kim Chiropractic and Rehab P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10590 Issued in TX

Legal business name

KIM CHIROPRACTIC AND REHAB P.C.

Practice address

5453 N Macarthur Blvd
Irving, TX 75038-3104

Phone

(469) 685-8918

Fax

(972) 550-6013

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yong Kyu Kim, DCNPI 1356535124

Title

DC/Owner

Phone

(469) 685-8918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Kyu Kim

  • Chiropractor
  • Irving, TX
  • NPI 1356535124
  NPD (past) Authorized official
• Stephen B Waller, D.C.

  • Chiropractor
  • Irving, TX
  • NPI 1891727269
  NPD (past)

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1104174499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383104",
            "telephone_number": "469-685-8918",
            "fax_number": "972-550-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383104",
            "telephone_number": "469-685-8918",
            "fax_number": "972-550-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHIROPRACTIC AND REHAB P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "469-685-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356535124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khusal Health and Wellness, Inc
• Shilpa D Khusal, DC
• Kids and Grownups Dental
• Aaron Killian, PHARMD
• Maureen Killoran
• Kim D Tubbs Pmhnp PA Inc
• Annie Kim, DDS
• Carolyn Kim, MD
• Chloe Jeehyong Kim, D.D.S
• Denise Y Kim, PHARMD

• Chiropractor in Irving, TX
• Providers in Irving, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.