NPIMap

Organization Active NPI

Hyung Suk Kim Chiropractic, Inc

Doing business as Smile Chiropractic & Acupuncture Clinic

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1144455627
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30235 Issued in CA
Legal business name
HYUNG SUK KIM CHIROPRACTIC, INC
Doing business as
Smile Chiropractic & Acupuncture Clinic
Practice address
3511 W Olympic Blvd Ste 204
Los Angeles, CA 90019-3563
Phone
(323) 733-1200
NPI assigned
May 27, 2009
Last updated
Nov 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Dr. Jonathan Hyungsuk Kim, D.C., L.AC.NPI 1477724441
Title
C.E.O
Phone
(323) 733-1200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30235 CA Primary
Acupuncturist 171100000X AC 11861 CA

Addresses

Primary practice location

3511 W Olympic Blvd Ste 204
Los Angeles, CA 90019-3563

Mailing address

3511 W Olympic Blvd Ste 204
Los Angeles, CA 90019-3563
Phone (323) 733-1200

Other names 1

  • Smile Chiropractic & Acupuncture Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1144455627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563",
            "telephone_number": "323-733-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563",
            "telephone_number": "323-733-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNG SUK KIM CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HYUNGSUK",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "323-733-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30235",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Chiropractic & Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.