Active NPI
Chris Hyon Kim, D,O,
- Chiropractor
- Northridge, CA
National Provider Identifier
1417064114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29553
- Practice address
- 9420 Reseda Blvd Ste 6
Northridge, CA 91324-6026 - Phone
- (818) 772-0948
- Fax
- (818) 772-0478
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29553 | CA | Primary |
Addresses
Primary practice location
9420 Reseda Blvd Ste 6
Northridge, CA 91324-6026
Mailing address
9420 Reseda Blvd Ste 6
Northridge, CA 91324-6026
Phone (818) 772-0948
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29553 | CA | MD | Marriage & Family Therapist |
| DC29553 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sung Sim Chiropractic and Acupuncture Inc. | 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 and National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1720244676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417064114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 RESEDA BLVD STE 6",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246026",
"telephone_number": "818-772-0948",
"fax_number": "818-772-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 RESEDA BLVD STE 6",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246026",
"telephone_number": "818-772-0948",
"fax_number": "818-772-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRIS",
"middle_name": "HYON",
"credential": "D,O,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.