Active NPI
Minsuk Kim, L.AC.
- Acupuncturist
- Charlotte, NC
National Provider Identifier
1447445598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2039
- Practice address
- 7810 Ballantyne Commons Pkwy Ste 225
Charlotte, NC 28277-3416 - Phone
- (310) 975-9129
- Fax
- (980) 422-0489
- NPI assigned
- Sep 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC9465 | CA | |
| Acupuncturist | 171100000X | 2039 | NC | Primary |
Addresses
Primary practice location
7810 Ballantyne Commons Pkwy Ste 225
Charlotte, NC 28277-3416
Mailing address
11121 Valley Spring Dr
Charlotte, NC 28277-3730
Phone (704) 228-1311
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | NC | MD | Chiropractor |
| AC9465 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1447445598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11121 VALLEY SPRING DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773730",
"telephone_number": "704-228-1311",
"fax_number": "980-422-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 BALLANTYNE COMMONS PKWY STE 225",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773416",
"telephone_number": "310-975-9129",
"fax_number": "980-422-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MINSUK",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9465",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.