Ki Tae Kim Chiropractic Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC27786 Issued in CA

Legal business name

KI TAE KIM CHIROPRACTIC INC.

Doing business as

Bay Bodywork & Chiropractic

Practice address

2211 Moorpark Ave
Suite 280
San Jose, CA 95128-2654

Phone

(408) 829-3019

Fax

(888) 734-8668

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Ki Tae Kim, D.C.NPI 1629106117

Title

Owner

Phone

(408) 829-3019

Specialties & licenses 1

Addresses

Other names 1

• Bay Bodywork & Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ki Tae Kim, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1629106117
  NPD (past) Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1265812309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-829-3019",
            "fax_number": "888-734-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-829-3019",
            "fax_number": "888-734-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI TAE KIM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KI",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-829-3019",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC27786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Bodywork & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khurram Abbass MD Inc
• Arug Irfan Khurshid
• Judy Khuu, PHARM D
• Nancy Khuu, O.D.
• Sonya Khuwaja, FNP-C
• Elliot Evan Yunhan Ki
• Aimee Kiang
• Esther Kiang
• Guita Kianian, D.C.
• Sharla Ruth Kibel, M.S., LMFT

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.