NPIMap

Individual provider Active NPI

Namjin Austin Kim, DC

  • Chiropractor
  • Apple Valley, CA
National Provider Identifier
1356560627
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29550 Issued in CA
Practice address
18002 Wika Rd
# A
Apple Valley, CA 92307-2125
Phone
(760) 242-4579
Fax
(760) 242-4762
NPI assigned
Apr 25, 2007
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29550 CA Primary

Addresses

Primary practice location

18002 Wika Rd
# A
Apple Valley, CA 92307-2125

Mailing address

18002 Wika Rd
# A
Apple Valley, CA 92307-2125
Phone (760) 242-4579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A. Kim Chiropractic Corp. Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1356560627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 WIKA RD",
            "address_2": "# A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-242-4579",
            "fax_number": "760-242-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 WIKA RD",
            "address_2": "# A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-242-4579",
            "fax_number": "760-242-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAMJIN",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.