Organization Active NPI

Byung Yul Kim

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1306182993
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO008710 Issued in GA
Legal business name
BYUNG YUL KIM
Practice address
2856 Buford Hwy
Suite 7
Duluth, GA 30096-3400
Phone
(678) 587-5390
Fax
(678) 587-5314
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Charles Byung Yul Kim, M.D.
Title
Owner
Phone
(678) 587-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO008710 GA Primary

Addresses

Primary practice location

2856 Buford Hwy
Suite 7
Duluth, GA 30096-3400

Mailing address

2856 Buford Hwy
Suite 7
Duluth, GA 30096-3400
Phone (678) 587-5390

National Provider Directory

National Provider Directory

Locations

2856 Buford Hwy
Ste 7
Duluth, GA 30096
Phone (678) 587-5390

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": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1306182993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 BUFORD HWY",
            "address_2": "SUITE 7",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963400",
            "telephone_number": "678-587-5390",
            "fax_number": "678-587-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 BUFORD HWY",
            "address_2": "SUITE 7",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963400",
            "telephone_number": "678-587-5390",
            "fax_number": "678-587-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUNG YUL KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHARLES BYUNG",
        "authorized_official_middle_name": "YUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-587-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO008710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.