Active NPI
Casey D Kim, DC., LAC.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1639487176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31393
- Practice address
- 1801 West Romneya Dr
Suite 301
Anaheim, CA 92801 - Phone
- (714) 449-0011
- NPI assigned
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 31393 | CA | Primary |
Addresses
Primary practice location
1801 West Romneya Dr
Suite 301
Anaheim, CA 92801
Mailing address
1801 West Romneya Dr
Suite 301
Anaheim, CA 92801
Phone (714) 449-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasbir S Mann M D Inc a Professional Corporation | Current | Accepting new patients |
Locations
1771 W Romneya Dr
Ste E
Anaheim, CA 92801
Phone (714) 449-0011
Organizations & group practices 2
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.
-
- Chiropractor
- Anaheim, CA
- NPI 1760865117
-
- Multi-Specialty Clinic/Center
- Anaheim, CA
- NPI 1750403382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1639487176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WEST ROMNEYA DR",
"address_2": "SUITE 301",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-449-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WEST ROMNEYA DR",
"address_2": "SUITE 301",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-449-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CASEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC., LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.