Daniel Jiyong Kim, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC31865 Issued in CA

Practice address

1354 The Alameda
Suite 11
San Jose, CA 95126-5000

Phone

(408) 899-2288

NPI assigned

May 31, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Kim Dynamic Body Chiropractic, P.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1881079861
  NPD (past) Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1851652382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 THE ALAMEDA",
            "address_2": "SUITE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265000",
            "telephone_number": "408-899-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 THE ALAMEDA",
            "address_2": "SUITE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265000",
            "telephone_number": "408-899-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "JIYONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC31865",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA-DC31865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Eun Kim
• Connie Kim, O.D.
• Dae Ha Kim, DDS
• Dai Jung Kim, M.D.
• Dan Kim
• Elisa Kim, BCBA
• Emily Kim
• Esther Ohn Kim, O.D.
• Eun Ah Kim, MA, MFT
• Eun Hyuk Kim, MD

• Sports Physician Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.