Organization Active NPI

Sang Eon Kim Chiropractic, Inc

  • Chiropractor
  • Sunnyvale, CA
National Provider Identifier
1225465008
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30142 Issued in CA
Legal business name
SANG EON KIM CHIROPRACTIC, INC
Practice address
693 E Remington Dr
Suite a
Sunnyvale, CA 94087-1977
Phone
(408) 720-8892
Fax
(408) 720-8298
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Dr. Sang Eon Kim, D.C., LACNPI 1003071663
Title
Ceo
Phone
(408) 720-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30142 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC17256 CA

Addresses

Primary practice location

693 E Remington Dr
Suite a
Sunnyvale, CA 94087-1977

Mailing address

693 E Remington Dr
Suite a
Sunnyvale, CA 94087-1977
Phone (408) 720-8892

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1225465008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 E REMINGTON DR",
            "address_2": "SUITE A",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871977",
            "telephone_number": "408-720-8892",
            "fax_number": "408-720-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 E REMINGTON DR",
            "address_2": "SUITE A",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871977",
            "telephone_number": "408-720-8892",
            "fax_number": "408-720-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG EON KIM CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "EON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-720-8892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30142",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.