NPIMap

Organization Active NPI

Ssung J. Kimmi PC

Doing business as Best Chiropractic Clinic

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1568768992
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3444 Issued in OR
Legal business name
SSUNG J. KIMMI PC
Doing business as
Best Chiropractic Clinic
Practice address
12795 SW 3Rd St
Beaverton, OR 97005-2704
Phone
(503) 641-4244
Fax
(503) 641-0551
NPI assigned
Feb 2, 2011
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Ssung J Kimmi, DCNPI 1912026196
Title
President
Phone
(503) 641-4244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3444 OR Primary

Addresses

Primary practice location

12795 SW 3Rd St
Beaverton, OR 97005-2704

Mailing address

12795 SW 3Rd Street
Beaverton, OR 97005
Phone (503) 641-4244

Other names 1

  • Best Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000585 OR Part B Supplier - Clinic/Group Practice 1658553219 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

12795 SW 3rd St
Beaverton, OR 97005
Phone (503) 641-4244

Practitioners & affiliated clinicians

Practitioners 4

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1568768992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12795 SW 3RD STREET",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-641-4244",
            "fax_number": "503-641-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12795 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052704",
            "telephone_number": "503-641-4244",
            "fax_number": "503-641-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSUNG J. KIMMI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "KIMMI",
        "authorized_official_first_name": "SSUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-641-4244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.