Myong Wook Kim

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

8408-ADC-0 Issued in NV

Practice address

1401 Arville St
Las Vegas, NV 89102-0054

Phone

(702) 738-0514

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vegas Adult Day Care

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1619421690
  NPD (past) Authorized official
• Vegas Adult Daycare, Inc

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1659818839
  NPD (past) Authorized official

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1811441892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SHARON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062036",
            "telephone_number": "702-738-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020054",
            "telephone_number": "702-738-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MYONG",
        "middle_name": "WOOK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": "8408-ADC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kim
• Mijung Kim, NURSE PRACTITIONER
• Min Kyu Kim, DMD
• Min S Kim, DMD
• Mina Soonmee Kim, APRN
• Nanyong Kim
• Nicole Kim
• Nicole Kim
• Paul Pyoungkang Kim, MD
• Rachel Kim

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.