NPIMap

Organization Active NPI

Kim,Jin

  • Acupuncturist
  • Winter Park, FL
National Provider Identifier
1356853659
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KIM,JIN
Practice address
400 W Fairbanks Ave Ste B
Winter Park, FL 32789-5084
Phone
(407) 539-3950
Fax
(407) 539-2661
NPI assigned
Oct 26, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Jin H Kim, A.P.NPI 1992865497
Title
Owner
Phone
(407) 539-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

400 W Fairbanks Ave Ste B
Winter Park, FL 32789-5084

Mailing address

400 W Fairbanks Ave Ste B
Winter Park, FL 32789-5084
Phone (407) 539-3950

Other practice location 1

321 N Mangoustine Ave
Sanford, FL 32771-1098
Phone (407) 539-2661

Other names 1

  • KIM-S ACUPUNCTURE CLINIC, INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

400 W Fairbanks Ave
Ste B
Winter Park, FL 32789
Phone (407) 539-3950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356853659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FAIRBANKS AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895084",
            "telephone_number": "407-539-3950",
            "fax_number": "407-539-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FAIRBANKS AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895084",
            "telephone_number": "407-539-3950",
            "fax_number": "407-539-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Mangoustine Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711098",
            "country_code": "US",
            "telephone_number": "407-539-2661",
            "fax_number": "407-539-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIM,JIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-539-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIM-S ACUPUNCTURE CLINIC, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.