Kim Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555864 Issued in VA

Legal business name

KIM CHIROPRACTIC CLINIC, P.A.

Practice address

13880 Braddock Rd Ste 207
Centreville, VA 20121-2463

Phone

(703) 815-2300

Fax

(703) 815-1313

NPI assigned

Jan 10, 2008

Organization subpart

Yes

Parent organization

KIM CHIROPRACTIC CLINIC, P.A.As reported in NPPES

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

Authorized official

Name

Dr. Eung Kwon Kim, D.C.NPI 1871526608

Title

President/Owner

Phone

(703) 815-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Part of

Kim Chiropractic Clinic PA

Locations

Practitioners 1

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

• Eung Kwon Kim, D.C.

  • Chiropractor
  • Columbia, MD
  • NPI 1871526608

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1659557502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 207",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212463",
            "telephone_number": "703-815-2300",
            "fax_number": "703-815-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 207",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212463",
            "telephone_number": "703-815-2300",
            "fax_number": "703-815-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIM CHIROPRACTIC CLINIC, P.A.",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNG",
        "authorized_official_middle_name": "KWON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "703-815-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kerns, PT
• Janice Lynn Keyes, MD
• Michael T. Khalil, O.D.
• Ali Ahmad Khorrami, MD
• Shoshana Holstein Killian, MD
• Kim Quyen Bui OD, PC
• Dae Hyung Kim
• Dong Hee Kim, LCSW
• Hongki Kim, D.C.
• Hyojin Kim

• Chiropractor in Centreville, VA
• Providers in Centreville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.