Active NPI
Kyung Taek Kim, L.AC, DIPL.AC, O.M
- Acupuncturist
- Honolulu, HI
National Provider Identifier
1497980437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 844
- Practice address
- 1481 S King Street
#106
Honolulu, HI 96814 - Phone
- (808) 947-2999
- Fax
- (808) 947-2999
- NPI assigned
- May 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 844 | HI | Primary |
Addresses
Primary practice location
1481 S King Street
#106
Honolulu, HI 96814
Mailing address
1481 S King Street
#106
Honolulu, HI 96814
Phone (808) 947-2999
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 |
|---|---|---|---|
| 844 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1497980437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 S KING STREET",
"address_2": "#106",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-947-2999",
"fax_number": "808-947-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 S KING STREET",
"address_2": "#106",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-947-2999",
"fax_number": "808-947-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KYUNG",
"middle_name": "TAEK",
"credential": "L.AC, DIPL.AC, O.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.