Min Jung Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11731 Issued in TX

Practice address

907 Aylesbury Dr
Allen, TX 75002-5745

Phone

(469) 258-6730

Fax

(972) 907-8502

NPI assigned

Feb 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cobri Health Inc

  • Chiropractor
  • Frisco, TX
  • NPI 1245971308
  Medicare reassignment NPD Authorized official
• Natures Chirohealth LLC

  • Clinic/Center
  • Allen, TX
  • NPI 1861768640
  NPD (past) Authorized official

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBCE",
            "identifier": "11731",
            "state": "TX"
        }
    ],
    "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": []
}

• Melissa D Kiefer
• Jessica Clare Kilpatrick, RBT
• Anna M. Kim, DDS
• Kensei Hosokawa Kim, RPH
• Mary J Kim, LCSW
• Namju Janie Kim
• Robert Kim, D.D.S.
• Susan J Kim, DDS
• Sylvia Kim
• Kindercare Health Services LLC

• Chiropractor in Allen, TX
• Providers in Allen, TX by specialty
• Chiropractor in Texas

• 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.

Verify at the official NPI Registry.