Eddie Hyun Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557502 Issued in VA

Practice address

10340 Democracy LN Ste 203
Fairfax, VA 22030-2518

Phone

(703) 385-4773

NPI assigned

Aug 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Atlas & Axis, LLC

  dba Homewatch Caregivers of Fairfax

  • Home Health Agency
  • Fairfax, VA
  • NPI 1205675527
  NPD Authorized official
• Care Plus Health and Wellness, Inc.

  • Chiropractor
  • Fairfax, VA
  • NPI 1508203654
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1326529843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 AUTUMN GLORY WAY",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 DEMOCRACY LN STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302518",
            "telephone_number": "703-385-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDDIE",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "0104557502",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Kim, DDS
• Chul Wha Kim, MD
• Daniel Kim, M.D., M.B.A.
• David Kim, MD
• Dongsup Kim, DDS
• Elizabeth Kim, ATR-BC, LPC, GC-C
• Emmanuel J Kim, PHARMD
• Erica Yebin Kim, MD
• Eunyoung Kim, D.M.D.
• Gil U Kim, MD

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.