Organization Active NPI

Kim Chiropractic & Acupuncture Inc.

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1760865117
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31393 Issued in CA
Legal business name
KIM CHIROPRACTIC & ACUPUNCTURE INC.
Practice address
1801 W Romneya Dr Ste 301
Anaheim, CA 92801-1825
Phone
(714) 449-0011
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Casey Kim, DCNPI 1639487176
Title
Chiropractor/Acupuncturist
Phone
(714) 449-0011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC31393 CA Primary

Addresses

Primary practice location

1801 W Romneya Dr Ste 301
Anaheim, CA 92801-1825

Mailing address

1801 W Romneya Dr Ste 301
Anaheim, CA 92801-1825
Phone (714) 449-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723007059 CA Part B Supplier - Clinic/Group Practice 0749593556 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

1801 W Romneya Dr
Ste 301
Anaheim, CA 92801
Phone (714) 449-0011

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1760865117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR STE 301",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011825",
            "telephone_number": "714-449-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR STE 301",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011825",
            "telephone_number": "714-449-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHIROPRACTIC & ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CHIROPRACTOR/ACUPUNCTURIST",
        "authorized_official_telephone_number": "714-449-0011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.