Individual provider Active NPI

Daniel M Kim, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1366968679
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01662 Issued in NV
Practice address
5597 S Rainbow Blvd Ste 140
Las Vegas, NV 89118-1898
Phone
(702) 665-5200
Fax
(725) 204-6025
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01662 NV Primary

Addresses

Primary practice location

5597 S Rainbow Blvd Ste 140
Las Vegas, NV 89118-1898

Mailing address

5597 S Rainbow Blvd Ste 140
Las Vegas, NV 89118-1898
Phone (702) 665-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512001725 NV Practitioner - Chiropractic 5799116521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5597 S Rainbow Blvd
Suite 140
Las Vegas, NV 89118-1898
Phone (702) 665-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01662NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
U & I Chiropractic LLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Sunnyhills Pain Clinic Chiropractor Past Accepting new patients
Nam Ill LLC. Chiropractor PastSince Mar 20, 2022 Accepting new patients

Locations

5597 S Rainbow Blvd
Ste 140
Las Vegas, NV 89118
Phone (702) 665-5200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1366968679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 S RAINBOW BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181898",
            "telephone_number": "702-665-5200",
            "fax_number": "725-204-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 S RAINBOW BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181898",
            "telephone_number": "702-665-5200",
            "fax_number": "725-204-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.