Dr Kim Chiropractic a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22741 Issued in CA

Legal business name

DR KIM CHIROPRACTIC A PROFESSIONAL CORPORATION

Doing business as

Shekinah Health

Practice address

650 S Westlake Blvd Ste 200
Westlake Village, CA 91362-3885

Phone

(805) 777-8154

Fax

(805) 777-8157

NPI assigned

Jan 19, 2009

Last updated

Mar 2, 2012By 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

Kap R Kim, D.C., LA.CNPI 1548289267

Title

President

Phone

(805) 777-8154

Specialties & licenses 2

Addresses

Other names 1

• Shekinah Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kap Ryong Kim, D.C., LA.C

  • Acupuncturist
  • Westlake Village, CA
  • NPI 1548289267
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1790922391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WESTLAKE BLVD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623885",
            "telephone_number": "805-777-8154",
            "fax_number": "805-777-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WESTLAKE BLVD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623885",
            "telephone_number": "805-777-8154",
            "fax_number": "805-777-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KIM CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KAP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-777-8154",
        "authorized_official_credential": "D.C., LA.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22741",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shekinah Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.