Tae Kyong Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13459 Issued in TX

Practice address

25807 Westheimer Pkwy Ste 270
Katy, TX 77494-5342

Phone

(281) 347-4444

Fax

(281) 347-4445

NPI assigned

Nov 27, 2017

Sex

Male

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

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seven Ports, LLC

  • Chiropractor
  • Katy, TX
  • NPI 1861663353
  Medicare reassignment NPD

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1831603067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 270",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945342",
            "telephone_number": "281-347-4444",
            "fax_number": "281-347-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 270",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945342",
            "telephone_number": "281-347-4444",
            "fax_number": "281-347-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE",
        "middle_name": "KYONG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward S Kim, DDS
• Jaibum Kim, DDS, MS
• Jonathan T Kim, MD
• Samuel Young Kim, M.D.
• Sejoon Sean Kim, D.D.S. M.D.
• Woihwan Kim, MD
• Yoo Kyung Cha Kim, RBT
• Kimberly Richter
• Christopher Stewart Kimmel, DDS
• Desiree Kinard, RBT, CPR

• Chiropractor in Katy, TX
• Providers in Katy, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.