Active NPI
Dennis Kim, LAC
- Acupuncturist
- Lexington, KY
National Provider Identifier
1154086692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- TAC134
- Practice address
- 800 Rose St
Lexington, KY 40536-1805 - Phone
- (859) 323-5325
- NPI assigned
- Oct 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000301 | PA | |
| Acupuncturist | 171100000X | TAC134 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-1805
Mailing address
800 Rose Street Whitney-Hendrickson BLDG 3Rd Floor
Lexington, KY 40536-0001
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 |
|---|---|---|---|
| TAC134 | KY | MD | Acupuncturist |
| OM000301 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690070400000",
"number": "1154086692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE STREET WHITNEY-HENDRICKSON BLDG 3RD FLOOR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405361805",
"telephone_number": "859-323-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DENNIS",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-31",
"last_updated": "2023-07-23",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000301",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KY",
"license": "TAC134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.