Active NPI
Min Jung Kim, D.C.
- Chiropractor
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11731
- Practice address
- 907 Aylesbury Dr
Allen, TX 75002-5745 - Phone
- (469) 258-6730
- Fax
- (972) 907-8502
- NPI assigned
- Feb 17, 2012
- Last updated
- Feb 10, 2022
- Sex
- Female
- 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 | 11731 | TX | Primary |
Addresses
Primary practice location
907 Aylesbury Dr
Allen, TX 75002-5745
Mailing address
907 Aylesbury Dr
Allen, TX 75002-5745
Phone (469) 258-6730
Other practice location 1
2411 Coit Rd Ste 100
Plano, TX 75075-3767
Phone (972) 769-7345
Other practice location 2
9555 Lebanon Rd Ste 1003
Frisco, TX 75035-6088
Phone (469) 258-6730
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Chirotouch |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9555 Lebanon Rd
Suite 1003
Frisco, TX 75035-6088
Phone (469) 258-6730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11731 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobri Health Inc | Chiropractor | Current | Accepting new patients |
| Natures Chirohealth LLC | Past | Accepting new patients |
Locations
9555 Lebanon Rd
Ste 1003
Frisco, TX 75035
Phone (214) 872-1232
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1497028674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 AYLESBURY DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750025745",
"telephone_number": "469-258-6730",
"fax_number": "972-769-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 AYLESBURY DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750025745",
"telephone_number": "469-258-6730",
"fax_number": "972-907-8502"
}
],
"practiceLocations": [
{
"address_1": "2411 Coit Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750753767",
"country_code": "US",
"telephone_number": "972-769-7345",
"fax_number": "972-769-7340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9555 Lebanon Rd Ste 1003",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750356088",
"country_code": "US",
"telephone_number": "469-258-6730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "MIN",
"middle_name": "JUNG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11731",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Chirotouch",
"affiliation": "N",
"address_1": "2411 Coit Rd Ste 100",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750753767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.