Active NPI
Jasmine T Kim, D.C.
- Chiropractor
- Clive, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6312
- Practice address
- 12257 University Ave Ste 220
Clive, IA 50325-8276 - Phone
- (515) 273-5555
- NPI assigned
- Nov 2, 2005
- Last updated
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6312 | IA | Primary |
Addresses
Primary practice location
12257 University Ave Ste 220
Clive, IA 50325-8276
Mailing address
12257 University Ave Ste 220
Clive, IA 50325-8276
Phone (515) 273-5555
Other practice location 1
1300 50th St
Suite 202
West Des Moines, IA 50266-5499
Phone (515) 273-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21031 | Other | IA | WELLMARK |
| 0214254 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Clive | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12257 Univeristy Ave
Suite 220
Clive, IA 50325-8276
Phone (515) 273-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6312 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasmine Kim Inc | Chiropractor | Current | Accepting new patients |
Locations
12257 University Ave
Ste 220
Clive, IA 50325
Phone (515) 273-5555
5938 Ashworth Rd
West Des Moines, IA 50266
Phone (515) 225-4002
1300 50th St
Ste 202
West Des Moines, IA 50266
Phone (515) 222-1689
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1558352328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12257 UNIVERSITY AVE STE 220",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258276",
"telephone_number": "515-273-5555",
"fax_number": "515-864-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12257 UNIVERSITY AVE STE 220",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258276",
"telephone_number": "515-273-5555"
}
],
"practiceLocations": [
{
"address_1": "1300 50th St",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502665499",
"country_code": "US",
"telephone_number": "515-273-5555",
"fax_number": "515-273-5556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JASMINE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "6312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "21031",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0214254",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Clive",
"affiliation": "N",
"endpointDescription": "physical location",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "12257 University Ave Ste 220",
"city": "Clive",
"state": "IA",
"country_code": "US",
"postal_code": "503258276",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.