Steve Seungtae Kim, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29934 Issued in CA

Practice address

1950 E. Chapman Avenue
Suite 2
Fullerton, CA 92831

Phone

(714) 525-5766

Fax

(714) 525-5986

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Seung Tae Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1265623532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E. CHAPMAN AVENUE",
            "address_2": "SUITE 2",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-525-5766",
            "fax_number": "714-525-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E. CHAPMAN AVENUE",
            "address_2": "SUITE 2",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-525-5766",
            "fax_number": "714-525-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVE",
        "middle_name": "SEUNGTAE",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29934",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29934",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEUNG TAE",
            "last_name": "KIM",
            "credential": "DOCTOR OF CHIROPRACT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvia Kim
• Simon C Kim, L. AC.
• Sooin Kim
• Soyoung Kim
• Stanley Shinyeong Kim, D.D.S.
• Steven Woong Kim, MD
• Sung Jin Kim, DPT
• Sung Joo C Kim, DDS
• Sung Kyung Kim, PPS
• Sung Soo Kim, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.