Individual provider Active NPI

Brenden James Kim, D.C., M.S.

  • Sports Physician Chiropractor
  • Aiea, HI
National Provider Identifier
1699045815
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC-1222 Issued in HI
Practice address
98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910
Phone
(808) 487-2273
Fax
(808) 356-0337
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC-1222 HI Primary

Addresses

Primary practice location

98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910

Mailing address

98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910
Phone (808) 487-2273

Other names 1

  • Dr. Brenden James Leomo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1699045815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-027 HEKAHA ST",
            "address_2": "UNIT 17",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014910",
            "telephone_number": "808-487-2273",
            "fax_number": "877-227-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-027 HEKAHA ST",
            "address_2": "UNIT 17",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014910",
            "telephone_number": "808-487-2273",
            "fax_number": "808-356-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRENDEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "HI",
            "license": "DC-1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDEN",
            "last_name": "LEOMO",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "credential": "D.C., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.