Kim'S Acupuncture and Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KIM'S ACUPUNCTURE AND CHIROPRACTIC

Practice address

2005 Boggs Rd Ste 106
Duluth, GA 30096-4602

Phone

(770) 497-0882

Fax

(770) 497-0861

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Soon A KimNPI 1689813149

Title

Ceo

Phone

(770) 497-0882

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Yes Clinic Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soon Ae Kim, D.C., L. AC.

  • Chiropractor
  • Suwanee, GA
  • NPI 1689813149
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1447912803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602",
            "telephone_number": "770-497-0882",
            "fax_number": "770-497-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602",
            "telephone_number": "770-497-0882",
            "fax_number": "770-497-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S ACUPUNCTURE AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-497-0882"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00000074221004",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acu-chiro@yesclinicga.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "2005 Boggs Rd Ste 106",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300964602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Yes Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sung H Kim
• Yejin Kim, M.D.
• Yongdong Kim, PHARM D
• Young D Kim, APRN
• Young-Tae Kim
• Kim'S Eyeland Optical, Inc.
• Zachary Kimbler
• Kims Eyeland Optical, Inc.
• Faithe Beanne Kimsey, MS, LPC, NCC
• Karly Marie Kincaid Moss, PA

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.