Eun Joo Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007142 Issued in MI

Practice address

28245 Southfield Rd
Lathrup Village, MI 48076-2863

Phone

(248) 552-1110

Fax

(248) 552-0771

NPI assigned

Jul 24, 2006

Last updated

Oct 21, 2010By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Cousineau Chiropractic Life Center P.C.

  • Chiropractor
  • Riverview, MI
  • NPI 1891912291
  NPD (past)
• O'Dell Family Chiropractic Center PLLC

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1669501516
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1356363279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-552-1110",
            "fax_number": "248-552-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-552-1110",
            "fax_number": "248-552-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUN",
        "middle_name": "JOO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarab Kamoo
• Riyadh P Kasmikha, M.D.
• Khayri Kassab
• Alexander Kasshamoun, DDS
• Kertia Black MD Board Certified in Rehabilitation Medicine
• Tina King, LMSW
• Thomas Kopsch, DC
• Jacqueline Yolanda Kramer
• Lama Home Health Care, LLC (LAMA Home Health Care)
• Victora H Langsam, MD

• Chiropractor in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.