Junsik Kim, L.AC., DIPL. O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

66.000081 Issued in OH

Practice address

1950 Richmond Rd
Lyndhurst, OH 44124-3719

Phone

(216) 448-4325

NPI assigned

Dec 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Panax Acupuncture and Regeneration Center, LLC

  • Acupuncturist
  • Shaker Heights, OH
  • NPI 1992532626
  NPD Authorized official
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1841697315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-448-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-448-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNSIK",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "6107",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16247",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "66.000081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Justice
• Kelsey a. Stehli DDS, LLC
• Khavis LLC
• Rafael Khavis, DENTIST
• Nathan Kielski
• Vladlen Kim, MD
• Kimberly J Nunn MHS PT LLC
• Anna Nikol Kippen, MS, RDN, LD
• Nathan Kirk, DMD
• Kristin Kirkpatrick, MS, RD

• Acupuncturist in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.