Individual provider Active NPI

Steve C. Kim, D.C.

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1265481261
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2101 Issued in TN
Practice address
615 Bakers Bridge Avenue
Suite Number 120
Franklin, TN 37067-1687
Phone
(615) 764-0001
Fax
(615) 764-0002
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2101 TN Primary

Addresses

Primary practice location

615 Bakers Bridge Avenue
Suite Number 120
Franklin, TN 37067-1687

Mailing address

615 Bakers Bridge Avenue
Suite Number 120
Franklin, TN 37067-1687
Phone (615) 764-0001

Other identifiers 12

IdentifierTypeStateIssuer
4120860OtherTNBLUECARE
696690OtherTNACN
4120860OtherTNBCBS
4120860OtherTNBLUESELECT
696690OtherTNGE WELLNESS PLAN
4120860OtherTNBLUECLASSIC
696690OtherTNGREAT-WEST HEALTHCARE
696690OtherTNBLUEGRASS FAMILY HEALTH
696690OtherTNHEALTH ALLIES
696690OtherTNGOLDEN RULE
696690OtherTNUNITED HEALTHCARE
4120860OtherTNBLUEPREFERRED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000122 TN Practitioner - Chiropractic 0143230854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Chiropractic, P.C.Group PAC ID 5496833287, 2 clinicians

Practice addresses (Care Compare)

2596 Murfreesboro Pike
Nashville, TN 37217-3504
Phone 61536030001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Chiropractic, P.C. Chiropractor CurrentSince Jun 4, 2017 Accepting new patients
Unified Health Services Chiropractor Past Accepting new patients

Locations

301 Mallory Station Rd
Ste 120
Franklin, TN 37067
Phone 61536030002

615 Bakers Bridge Ave
Ste 120
Franklin, TN 37067
Phone (615) 764-0001

2596 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 360-3000

Organizations & group practices 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1265481261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BAKERS BRIDGE AVENUE",
            "address_2": "SUITE NUMBER 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671687",
            "telephone_number": "615-764-0001",
            "fax_number": "615-764-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BAKERS BRIDGE AVENUE",
            "address_2": "SUITE NUMBER 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671687",
            "telephone_number": "615-764-0001",
            "fax_number": "615-764-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "4120860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4120860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESELECT",
            "identifier": "4120860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE WELLNESS PLAN",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECLASSIC",
            "identifier": "4120860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTHCARE",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIES",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN RULE",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "696690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEPREFERRED",
            "identifier": "4120860",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.