Dong Guk Kim, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03894 Issued in MD

Practice address

9275 Baltimore National Pike
Ste 104
Ellicott City, MD 21042-3943

Phone

(410) 480-0083

Fax

(410) 480-0082

NPI assigned

Nov 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mocurry Chiropractic P.C

  • Chiropractor
  • Ellicott City, MD
  • NPI 1699225912
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1164828208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE",
            "address_2": "STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-480-0083",
            "fax_number": "410-480-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE",
            "address_2": "STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-480-0083",
            "fax_number": "410-480-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG GUK",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Julie Kieta
• Kim & Kim, D.D.S., P.a.
• Kim Jones-Fearing M.D. LLC
• Byung-Oh Kim, M.D.
• David H Kim, DDS
• Ellen Kim, RPH
• Heejung Kim, D.D.S
• Henry Kim
• Hyoung Keun Kim, DMD
• Jiwon Kim

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.