Joon Myung Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33821 Issued in CA

Practice address

4959 Palo Verde St Ste 100B
Montclair, CA 91763-2339

Phone

(909) 626-7100

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Health Center, LLCGroup PAC ID 1052508660, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Health Center, LLC

  dba Canby Spine & Sport

  • Chiropractor
  • Canby, OR
  • NPI 1043491178
  Medicare reassignment Care Compare group NPD
• Larry D Jensen DPM PC

  • Foot Surgery Podiatrist
  • Tigard, OR
  • NPI 1083991400
  NPD

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1205343548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 100B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632339",
            "telephone_number": "909-626-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 100B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632339",
            "telephone_number": "909-626-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON MYUNG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akinkunmi Adekunle Kilanko
• Sharae Nakia Kilgore
• Jessica Jaehee Kim, PA-C
• John Kim, DO
• Joo Yong Kim, D.C.
• Marlyn Kim, BCBA
• Aneysha Kimble
• Chelsea Nicole King
• Kylie Kirkwood
• Taianna Kizzee

• Chiropractor in Montclair, CA
• Providers in Montclair, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.