NPIMap

Organization Active NPI

Kim Gon Acupuncture Clinic LLC

  • Acupuncturist
  • Renton, WA
National Provider Identifier
1306988936
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002784 Issued in WA
Legal business name
KIM GON ACUPUNCTURE CLINIC LLC
Practice address
9806 SE Carr Rd
Renton, WA 98055-5813
Phone
(425) 430-1336
Fax
(425) 430-5583
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Gon Kim, EAMPNPI 1598807596
Title
President
Phone
(425) 430-1336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00002784 WA Primary

Addresses

Primary practice location

9806 SE Carr Rd
Renton, WA 98055-5813

Mailing address

9806 SE Carr Rd
Renton, WA 98055-5813
Phone (425) 430-1336

Other names 1

  • Korea Acupuncture and Herbal Clinic Doing business as

National Provider Directory

National Provider Directory

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1306988936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 SE CARR RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555813",
            "telephone_number": "425-430-1336",
            "fax_number": "425-430-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 SE CARR RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555813",
            "telephone_number": "425-430-1336",
            "fax_number": "425-430-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM GON ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-430-1336",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korea Acupuncture and Herbal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.