Vismay Hyoungwan Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-001135 Issued in AZ

Practice address

6245 E Bell Rd Ste 117
Scottsdale, AZ 85254-6405

Phone

(480) 268-4878

NPI assigned

Dec 8, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1376058545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 E BELL RD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546405",
            "telephone_number": "480-268-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 E BELL RD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546405",
            "telephone_number": "480-268-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "VISMAY",
        "middle_name": "HYOUNGWAN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-001135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kim, D.O.
• Lauren Kim, DMD
• Michelle Kim, LCSW
• Nancy Hageung Kim, M.D.
• Sujin Kim, PHARMD
• Walter Hyun Kim, M.D.
• Woong Ray Kim, M.D.
• Lucas Nyabero Kimanga, PHARMD
• Kimball F Morejon DMD PC
• Bruce K Kimbel, M.D.

• Acupuncturist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.