D H Kim Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

D H KIM CHIROPRACTIC INC.

Practice address

5831 Beach Blvd
Buena Park, CA 90621-2021

Phone

(714) 994-1671

Fax

(714) 994-1134

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

David Daehee Kim, D.C.

Title

President

Phone

(714) 994-1671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Dae Hee Kim, D.C.

  • Chiropractor
  • Fullerton, CA
  • NPI 1073691689
  Medicare reassignment

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1528338159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-994-1671",
            "fax_number": "714-994-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-994-1671",
            "fax_number": "714-994-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D H KIM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DAEHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-994-1671",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.