Active NPI
Byoung Kim
- Acupuncturist
- Jenks, OK
National Provider Identifier
1730517723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 531 E a St Ste 100B
Jenks, OK 74037-4102 - Phone
- (918) 995-1100
- Fax
- (800) 930-1401
- NPI assigned
- Oct 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5401000057 | MI | |
| Acupuncturist | 171100000X | OK | Primary |
Addresses
Primary practice location
531 E a St Ste 100B
Jenks, OK 74037-4102
Mailing address
531 E a St Ste 100B
Jenks, OK 74037-4102
Phone (918) 995-1100
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 |
|---|---|---|---|
| 5401000057 | MI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1730517723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 E A ST STE 100B",
"city": "JENKS",
"state": "OK",
"postal_code": "740374102",
"telephone_number": "918-995-1100",
"fax_number": "800-930-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 E A ST STE 100B",
"city": "JENKS",
"state": "OK",
"postal_code": "740374102",
"telephone_number": "918-995-1100",
"fax_number": "800-930-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BYOUNG",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-29",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "5401000057",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.