Chang Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12926 Issued in TX

Practice address

2576 Royal LN
Dallas, TX 75229-3417

Phone

(469) 248-0012

Fax

(469) 317-7120

NPI assigned

Jul 22, 2015

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Chiropractic PLLC

  dba Excel Chiropractic

  • Chiropractor
  • Dallas, TX
  • NPI 1023581501
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1285019059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293417",
            "telephone_number": "469-248-0012",
            "fax_number": "469-317-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293417",
            "telephone_number": "469-248-0012",
            "fax_number": "469-317-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHANG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Jung-Kun Kim, M.D.
• Byounghyuck Kim
• Byung Kim, DMD
• Carolyn Kim
• Chan-Woo Kim
• Chang Min Kim, DPT
• Charles K Kim, MD
• Christina Diane Kim, MPAS, PA-C
• Christine Kim, RPH
• Christine Lee Kim, PHARMD

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.