Organization Active NPI

Integrative Health LLC

Doing business as Integrative Health Chiropractic Acupuncture Nutrition

  • General Practice Physician
  • Midlothian, VA
National Provider Identifier
1811140056
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATIVE HEALTH LLC
Doing business as
Integrative Health Chiropractic Acupuncture Nutrition
Practice address
15521 Midlothian Tpke Ste 402
Midlothian, VA 23113-7313
Phone
(804) 399-0002
NPI assigned
Oct 31, 2008
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Dr. Jackye Kim, DCNPI 1730332966
Title
Member
Phone
(804) 399-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

15521 Midlothian Tpke Ste 402
Midlothian, VA 23113-7313

Mailing address

7305 Hancock Village Dr # 118
Chesterfield, VA 23832-2771
Phone (804) 399-0002

Other names 1

  • Integrative Health Chiropractic Acupuncture Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

10124 W Broad St
Ste M
Glen Allen, VA 23060
Phone (804) 594-7272

15521 Midlothian Tpke
Ste 402
Midlothian, VA 23113
Phone (804) 399-0002

200 Heaths Way Rd
Midlothian, VA 23114

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1811140056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANCOCK VILLAGE DR # 118",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322771",
            "telephone_number": "804-399-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 402",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-399-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JACKYE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-399-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Health Chiropractic Acupuncture Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.