William W. Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009631 Issued in PA

Practice address

725 Skippack Pike Ste 335
Blue Bell, PA 19422-1749

Phone

(610) 313-0960

NPI assigned

Apr 20, 2007

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acupuncture & Chiropractic Centers, LLC

  • Chiropractor
  • Havertown, PA
  • NPI 1467642793
  Medicare reassignment NPD Authorized official
• Acupuncture & Chiropractic Centers, LLC

  • Chiropractor
  • Blue Bell, PA
  • NPI 1366633844
  NPD Authorized official
• The Chiropractic Place

  dba N/a

  • Health Maintenance Organization
  • Woodside, NY
  • NPI 1063747418
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1508084179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FAYETTE ST UNIT 21",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194285400",
            "telephone_number": "484-480-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE STE 335",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221749",
            "telephone_number": "610-313-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Chester Pike Ste 104",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "19083",
            "country_code": "US",
            "telephone_number": "484-480-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009631",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "AJ009433",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC009631",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ009433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence A Kerson, MD
• Anjana Khuntia, MD
• James C. Kidder, ED.D.
• Annie On Yee Kim
• Sang H Kim, D.C.
• Woojin Kim
• Kindle Hill Foundation Charity
• Kleya Psychiatry
• Sonya M. Knight, DO
• John Dylan Kohutka, DPT

• Chiropractor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.