Chung Kiel Kim

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01030918A Issued in IN

Legal business name

CHUNG KIEL KIM

Practice address

2000 Roosevelt Rd
Suite 104
Valparaiso, IN 46383-2800

Phone

(219) 464-3063

Fax

(219) 462-6448

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chung Kiel Kim, M.D.NPI 1689618654

Title

Owner

Phone

(219) 464-3063

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Chung K Kim, M.D.

  • Orthopaedic Surgery Physician
  • Valparaiso, IN
  • NPI 1689618654
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1780879114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-464-3063",
            "fax_number": "219-462-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "address_2": "SUITE 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-464-3063",
            "fax_number": "219-462-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG KIEL KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "KIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-464-3063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01030918A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Counseling Services, P.C.
• Anish Chopra, MD
• Aimee Christian
• Stephanie Christian
• Chrysalis Counseling Coaching and Consulting LLC
• Alaina Ciarrocchi, LMHC-A, NCC, MSED
• Jennifer A Cimbala, MA, LMHC
• Emily Ann Cioni
• City of Valparaiso (Valparaiso Fire Department)
• Kori C Claesgens

• Orthopaedic Surgery Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.