Organization Active NPI

Kim Chiropractic, Inc.

  • Chiropractor
  • Van Nuys, CA
National Provider Identifier
1568742880
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23863 Issued in CA
Legal business name
KIM CHIROPRACTIC, INC.
Practice address
17637 Sherman Way
A
Van Nuys, CA 91406-3575
Phone
(818) 654-7849
Fax
(818) 654-7548
NPI assigned
Aug 17, 2011
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Sherri Kim, DCNPI 1235429879
Title
President
Phone
(818) 654-7849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 23863 CA Primary

Addresses

Primary practice location

17637 Sherman Way
A
Van Nuys, CA 91406-3575

Mailing address

17637 Sherman Way
A
Van Nuys, CA 91406-3575
Phone (818) 654-7849

National Provider Directory

National Provider Directory

Locations

8540 Reseda Blvd
Ste 210
Northridge, CA 91324
Phone (661) 288-7978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1568742880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17637 SHERMAN WAY",
            "address_2": "A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063575",
            "telephone_number": "818-654-7849",
            "fax_number": "818-654-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17637 SHERMAN WAY",
            "address_2": "A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063575",
            "telephone_number": "818-654-7849",
            "fax_number": "818-654-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-654-7849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.