Organization Active NPI

Golden Chiro Acupuncture Clinic LLC

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1730549346
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000759 Issued in VA
Legal business name
GOLDEN CHIRO ACUPUNCTURE CLINIC LLC
Practice address
10195 Main St
Suite F
Fairfax, VA 22031-3415
Phone
(703) 277-9897
NPI assigned
Feb 25, 2016
Organization subpart
Yes
Parent organization
GOLDEN CHIRO ACUPUNCTURE CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Dr. Kevin Kim, DC, LACNPI 1679723720
Title
MGR
Phone
(703) 277-9897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0121000759 VA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC16321 CA

Addresses

Primary practice location

10195 Main St
Suite F
Fairfax, VA 22031-3415

Mailing address

10195 Main St
Suite F
Fairfax, VA 22031-3415

National Provider Directory

National Provider Directory
Tax ID family
Golden Chiro Acupuncture Clinic LLC2 organizations share this tax ID, including this one
Part of
Golden Chiro Acupuncture Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1730549346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 MAIN ST",
            "address_2": "SUITE F",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 MAIN ST",
            "address_2": "SUITE F",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313415",
            "telephone_number": "703-277-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CHIRO ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN CHIRO ACUPUNCTURE CLINIC LLC",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "703-277-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000759",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

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