Active NPI
Nam Ki Chiropractic L.L.C
- Chiropractor
- Duluth, GA
National Provider Identifier
1104236777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008082
- Legal business name
- NAM KI CHIROPRACTIC L.L.C
- Practice address
- 3230 Steve Reynolds Blvd Ste 208
Duluth, GA 30096 - Phone
- (770) 418-1110
- NPI assigned
- May 5, 2014
- 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
- Kikwang Nam
- Title
- Dr.Nam
- Phone
- (770) 418-1110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008082 | GA | Primary |
Addresses
Primary practice location
3230 Steve Reynolds Blvd Ste 208
Duluth, GA 30096
Mailing address
3230 Steve Reynolds Blvd Ste 208
Duluth, GA 30096-8832
Phone (770) 418-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3230 Steve Reynolds Blvd
Ste 109
Duluth, GA 30096
Phone (770) 418-1110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Johns Creek, GA
- NPI 1538548730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531180800000",
"number": "1104236777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 STEVE REYNOLDS BLVD STE 208",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968832",
"telephone_number": "770-418-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 STEVE REYNOLDS BLVD STE 208",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "770-418-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAM KI CHIROPRACTIC L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-05",
"last_updated": "2018-07-10",
"status": "A",
"authorized_official_last_name": "NAM",
"authorized_official_first_name": "KIKWANG",
"authorized_official_title_or_position": "DR.NAM",
"authorized_official_telephone_number": "770-418-1110"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.