Cynthia Jeeyon Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28503 Issued in CA

Practice address

615 S Main Street Ste 1
Milpitas, CA 95035

Phone

(408) 945-7717

Fax

(408) 946-8145

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeeyon Kim Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Wellness Clinic

  • Chiropractor
  • Milpitas, CA
  • NPI 1861533069
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1245394600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S MAIN STREET STE 1",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "408-945-7717",
            "fax_number": "408-946-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S MAIN STREET STE 1",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "408-945-7717",
            "fax_number": "408-946-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CYNTHIA",
        "middle_name": "JEEYON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "DC0285030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEEYON",
            "last_name": "KIM",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandy Tu Anh Khuong, PHARM. D.
• Yih-Ting T Kiang, O.D.
• Kids First Speech and Language Intervention
• Hannah Marie Kiggans, PT, DPT
• Kim Luu D.D.S. Inc.
• Jekyong Jay Kim, D.D.S., M.S.
• Julie Kim, PHARM.D.
• Sarah Kim
• Sung S. Kim, D.C.
• Autumn Ambrose King, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.