Individual provider Active NPI

Won Seok Kim, DC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1780933150
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010932 Issued in PA
Practice address
5675 Rising Sun Ave
Suite 14
Philadelphia, PA 19120-2100
Phone
(267) 343-4930
Fax
(267) 343-8051
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010932 PA Primary

Addresses

Primary practice location

5675 Rising Sun Ave
Suite 14
Philadelphia, PA 19120-2100

Mailing address

5675 Rising Sun Ave
Suite 14
Philadelphia, PA 19120-2100
Phone (267) 343-4930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518002336 PA Practitioner - Chiropractic 5597902973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5675 Rising Sun Ave
Suite 14
Philadelphia, PA 19120-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC010932PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Free Chiropractic P.C. Chiropractor CurrentSince Mar 1, 2026 Accepting new patients

Locations

5675 Rising Sun Ave
#14
Philadelphia, PA 19120
Phone (267) 343-4930

Organizations & group practices 1

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1780933150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 RISING SUN AVE",
            "address_2": "SUITE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "267-343-4930",
            "fax_number": "267-343-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 RISING SUN AVE",
            "address_2": "SUITE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "267-343-4930",
            "fax_number": "267-343-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WON SEOK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.