NPIMap

Organization Active NPI

Koh Healthcare Systems, Inc

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1629437967
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13041 Issued in TX
Legal business name
KOH HEALTHCARE SYSTEMS, INC
Practice address
2035 Royal LN Ste 200
Dallas, TX 75229-7206
Phone
(214) 352-6677
Fax
(877) 643-4072
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Jason KimNPI 1023474921
Title
Chiropractor
Phone
(469) 235-6381

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 13041 TX Primary

Addresses

Primary practice location

2035 Royal LN Ste 200
Dallas, TX 75229-7206

Mailing address

2035 Royal LN Ste 200
Dallas, TX 75229-7206
Phone (214) 352-6677

Other names 1

  • mirae clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koh Healthcare Systems Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2035 Royal Ln
Ste 200
Dallas, TX 75229
Phone (214) 352-6677

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1629437967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 ROYAL LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297206",
            "telephone_number": "214-352-6677",
            "fax_number": "877-643-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 ROYAL LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297206",
            "telephone_number": "214-352-6677",
            "fax_number": "877-643-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOH HEALTHCARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "469-235-6381"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mirae clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.