Active NPI
Hyeon Joo Kim
- Acupuncturist
- Murray, UT
National Provider Identifier
1710044912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 50503621201
- Practice address
- 153 East 4370 South
#16
Murray, UT 84107-2608 - Phone
- (801) 287-9559
- Fax
- (801) 287-9559
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 50503621201 | UT | Primary |
Addresses
Primary practice location
153 East 4370 South
#16
Murray, UT 84107-2608
Mailing address
153 E 4370 S
Suite 16
Murray, UT 84107-2624
Phone (801) 287-9559
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50503621201 | UT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kims Acupuncture & Herbal Meds | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Murray, UT
- NPI 1922482942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1710044912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 E 4370 S",
"address_2": "SUITE 16",
"city": "MURRAY",
"state": "UT",
"postal_code": "841072624",
"telephone_number": "801-287-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 EAST 4370 SOUTH",
"address_2": "#16",
"city": "MURRAY",
"state": "UT",
"postal_code": "841072608",
"telephone_number": "801-287-9559",
"fax_number": "801-287-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYEON",
"middle_name": "JOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "UT",
"license": "50503621201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.