Individual provider Active NPI

Jhan Kim, D.C.

  • Acupuncturist
  • Elkins Park, PA
National Provider Identifier
1245201888
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
7301 Mountain Avenue
Elkins Park, PA 19027
Phone
(215) 782-1237
Fax
(215) 782-1239
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

7301 Mountain Avenue
Elkins Park, PA 19027

Mailing address

921 W Cheltenham Ave
Elkins Park, PA 19027-3208
Phone (215) 782-1235

Other practice location 1

921 W Cheltenham Ave
Elkins Park, PA 19027-3208
Phone (215) 782-1235

Other identifiers 1

IdentifierTypeStateIssuer
2355361000OtherPAIBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000252 PA Practitioner - Chiropractic 2769402734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Chiropractic & Rehab Center - Blue Bell Inc Chiropractor CurrentSince Jun 18, 2023 Accepting new patients
Kim Chiropractic & Rehab Center - Elkins Park Inc Chiropractor CurrentSince Feb 14, 2005 Accepting new patients
Kim Chiropractic & Rehab Center Chiropractor Past Accepting new patients
Kim Chiropractic & Rehab Center- Cherry Hill Inc Chiropractor PastSince Jun 23, 2008 Accepting new patients

Locations

704 DeKalb Pike
Blue Bell, PA 19422
Phone (484) 965-9432

704 DeKalb Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 725-6060

1400 Willow Ave
Ste B1
Elkins Park, PA 19027
Phone (215) 635-1160

921 W Cheltenham Ave
Melrose Park, PA 19027
Phone (215) 635-4902

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1245201888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273208",
            "telephone_number": "215-782-1235",
            "fax_number": "215-782-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MOUNTAIN AVENUE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "19027",
            "telephone_number": "215-782-1237",
            "fax_number": "215-782-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 W Cheltenham Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190273208",
            "country_code": "US",
            "telephone_number": "215-782-1235",
            "fax_number": "215-782-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2355361000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.