Organization Active NPI

J Kim Chiropractic Corporation

  • Chiropractor
  • Fullerton, CA
National Provider Identifier
1275200438
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
J KIM CHIROPRACTIC CORPORATION
Practice address
444 N Harbor Blvd Ste 200
Fullerton, CA 92832-1968
Phone
(714) 519-3378
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Dr. Joo Kim, DC
Title
Ceo
Phone
(310) 415-7248

Specialties & licenses 1

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

Addresses

Primary practice location

444 N Harbor Blvd Ste 200
Fullerton, CA 92832-1968

Mailing address

444 N Harbor Blvd Ste 200
Fullerton, CA 92832-1968
Phone (714) 519-3378

Other names 1

  • DK SPINE CHIROS Doing business as

National Provider Directory

National Provider Directory

Locations

444 N Harbor Blvd
Ste 200
Fullerton, CA 92832
Phone (626) 278-9745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1275200438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N HARBOR BLVD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321968",
            "telephone_number": "714-519-3378",
            "fax_number": "714-333-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N HARBOR BLVD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321968",
            "telephone_number": "714-519-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KIM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-415-7248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DK SPINE CHIROS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.