Kyung Joon Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013726-01 Issued in NY

Practice address

4312 54TH St
Woodside, NY 11377-4639

Phone

(929) 777-0754

NPI assigned

Jul 27, 2023

Last updated

Jun 4, 2025By the provider in NPPES

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

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.

• KJ Kim Chiropractic PC

  • Chiropractor
  • New York, NY
  • NPI 1861385148
  NPD Authorized official

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1215618897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 54TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774639",
            "telephone_number": "929-777-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 54TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774639",
            "telephone_number": "929-777-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUNG JOON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013726-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaehyun Kim
• James Kim
• Jane Kim
• Jong Hee Kim
• Juliet Kim
• Sua Kim
• Tracy Kim, DMD
• Cheryl P Kimler
• Lindsey Kinnard, COTA/L
• Claire Klinger

• Chiropractor in Woodside, NY
• Providers in Woodside, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.