NPIMap

Organization Active NPI

JK Health Care Group Inc,(Constituion Medicine & Chiropractic Center)

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1245359058
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7922 Issued in GA
Legal business name
JK HEALTH CARE GROUP INC,(CONSTITUION MEDICINE & CHIROPRACTIC CENTER)
Practice address
2550 Pleasant Hill Rd Ste 124
Duluth, GA 30096-9278
Phone
(770) 814-7400
Fax
(770) 814-7442
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Jung B. Kim, D.C
Title
Director
Phone
(770) 814-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7922 GA Primary

Addresses

Primary practice location

2550 Pleasant Hill Rd Ste 124
Duluth, GA 30096-9278

Mailing address

2550 Pleasant Hill Rd Ste 124
Duluth, GA 30096-9278
Phone (770) 814-7400

National Provider Directory

National Provider Directory
Tax ID family
8CM Grace Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 Pleasant Hill Rd
Ste 124
Duluth, GA 30096
Phone (770) 814-7400

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1245359058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK HEALTH CARE GROUP INC,(CONSTITUION MEDICINE & CHIROPRACTIC CENTER)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-814-7400",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "7922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.