Active NPI
Dooho Kim, AU.D
- Audiologist
- Fort Carson, CO
National Provider Identifier
1184154460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2723
- Practice address
- 1650 Cochrane Cir BLDG 6351
Fort Carson, CO 80913-4613 - Phone
- (719) 526-4617
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2723 | NY | Primary |
Addresses
Primary practice location
1650 Cochrane Cir BLDG 6351
Fort Carson, CO 80913-4613
Mailing address
1650 Cochrane Cir BLDG 6351
Fort Carson, CO 80913-4604
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 |
|---|---|---|---|
| 002723 | NY | MD | Art Therapist |
| 2723 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1184154460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR BLDG 6351",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR BLDG 6351",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-526-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOOHO",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2023-12-18",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "2723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.