Active NPI
John Yongsok Kim, D.C.
- Chiropractor
- Birmingham, AL
National Provider Identifier
1205016326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2222
- Practice address
- 5092 Cahaba Valley Rd
Birmingham, AL 35242-3502 - Phone
- (205) 994-0862
- NPI assigned
- Nov 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2222 | AL | Primary |
Addresses
Primary practice location
5092 Cahaba Valley Rd
Birmingham, AL 35242-3502
Mailing address
5092 Cahaba Valley Rd
Birmingham, AL 35242-3502
Phone (205) 994-0862
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 |
|---|---|---|---|
| 2222 | AL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1205016326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5092 CAHABA VALLEY RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352423502",
"telephone_number": "205-994-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5092 CAHABA VALLEY RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352423502",
"telephone_number": "205-994-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "YONGSOK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.