Individual provider Active NPI

Joy Hyunae Kim, DC

  • Chiropractor
  • Fullerton, CA
National Provider Identifier
1699789479
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25889 Issued in CA
Practice address
1401 S Brookhurst Rd
Ste 103
Fullerton, CA 92833-4471
Phone
(714) 449-9700
Fax
(714) 449-9992
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25889 CA Primary

Addresses

Primary practice location

1401 S Brookhurst Rd
Ste 103
Fullerton, CA 92833-4471

Mailing address

1401 S Brookhurst Rd
Ste 103
Fullerton, CA 92833-4471
Phone (714) 449-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000405 CA Practitioner - Chiropractic 0547265365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 S Brookhurst Rd
Suite 103
Fullerton, CA 92833-4492
Phone (714) 449-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Kim Chiropractic, Inc. Chiropractor CurrentSince Mar 17, 2010 Accepting new patients

Locations

1401 S Brookhurst Rd
Ste 103
Fullerton, CA 92833
Phone (714) 449-9700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1699789479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD",
            "address_2": "STE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334471",
            "telephone_number": "714-449-9700",
            "fax_number": "714-449-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD",
            "address_2": "STE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334471",
            "telephone_number": "714-449-9700",
            "fax_number": "714-449-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOY",
        "middle_name": "HYUNAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.