Kikwang Nam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008082 Issued in GA

Practice address

10900 Medlock Bridge Rd Ste 202
Johns Creek, GA 30097-1505

Phone

(770) 418-2340

Fax

(770) 418-9011

NPI assigned

May 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Nam Ki Chiropractic L.L.C

  • Chiropractor
  • Duluth, GA
  • NPI 1104236777
  Medicare reassignment NPD Authorized official
• Neo Chiropractic Clinic

  • Chiropractor
  • Duluth, GA
  • NPI 1801032651
  NPD (past) Authorized official
• Ba Reun Health Center LLC

  • Chiropractor
  • Duluth, GA
  • NPI 1700022555
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1538548730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 MEDLOCK BRIDGE RD STE 202",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971505",
            "telephone_number": "770-418-2340",
            "fax_number": "770-418-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 MEDLOCK BRIDGE RD STE 202",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971505",
            "telephone_number": "770-418-2340",
            "fax_number": "770-418-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "KIKWANG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008082",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHIR008082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013249978",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Mustroph
• Sridevi Muthukumar, M.D.
• Myeyedr Optometry of Georgia, LLC
• Alena Naff, MS, LAT, ATC
• Bora Nam
• Samantha Ju Young Nam, LMFT
• Naomi Akita, MD
• Jennifer Lynn Narvaez Roberts, MD
• Nash Smith Inc
• Sivaniaravindapriya Nattama, DO

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.