Organization Active NPI

Dr. Kim, L.L.C.

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1477072353
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1584 Issued in NE
Legal business name
DR. KIM, L.L.C.
Practice address
324 W Norfolk Ave
Norfolk, NE 68701-5233
Phone
(402) 316-4641
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kimberly Karen Thor-Adams, DC
Title
Chiropractor/Owner
Phone
(402) 316-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1584 NE Primary

Addresses

Primary practice location

324 W Norfolk Ave
Norfolk, NE 68701-5233

Mailing address

324 W Norfolk Ave
Norfolk, NE 68701-5233
Phone (402) 316-4641

Other identifiers 2

IdentifierTypeStateIssuer
1003048471MedicaidNE
1356860498MedicaidIA

National Provider Directory

National Provider Directory

Locations

324 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 316-4641

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477072353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015233",
            "telephone_number": "402-316-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015233",
            "telephone_number": "402-316-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIM, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOR-ADAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "402-316-4641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003048471",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356860498",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.