Individual provider Active NPI

Yun S Kim, D C

  • Chiropractor
  • Apopka, FL
National Provider Identifier
1740459148
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 000 7351 Issued in FL
Practice address
3060 E Semoran Blvd
Ste 108
Apopka, FL 32703-5910
Phone
(407) 788-9955
Fax
(407) 788-9966
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 000 7351 FL Primary

Addresses

Primary practice location

3060 E Semoran Blvd
Ste 108
Apopka, FL 32703-5910

Mailing address

3060 E Semoran Blvd
Ste 108
Apopka, FL 32703-5910
Phone (407) 788-9955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000629 FL Practitioner - Chiropractic 0244404036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

462 W Central Pkwy
Altamonte Springs, FL 32714-2415
Phone (407) 788-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 000 7351FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopwood Chiropractic Center, P.C. Chiropractor Past Accepting new patients
Rhonda Ringer MD MPH LLC Past Accepting new patients

Organizations & group practices 3

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1740459148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 E SEMORAN BLVD",
            "address_2": "STE 108",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035910",
            "telephone_number": "407-788-9955",
            "fax_number": "407-788-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 E SEMORAN BLVD",
            "address_2": "STE 108",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035910",
            "telephone_number": "407-788-9955",
            "fax_number": "407-788-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUN",
        "middle_name": "S",
        "credential": "D C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 000 7351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.