NPIMap

Organization Active NPI

Kim Dynamic Body Chiropractic, P.C.

Doing business as Dynamic Body Chiropractic

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1881079861
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31865 Issued in CA
Legal business name
KIM DYNAMIC BODY CHIROPRACTIC, P.C.
Doing business as
Dynamic Body Chiropractic
Practice address
1354 The Alameda
#11
San Jose, CA 95126-5000
Phone
(408) 899-2288
Fax
(408) 982-5211
NPI assigned
Jul 20, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dr. Daniel Jiyong Kim, D.C.NPI 1851652382
Title
Owner/Chiropractor
Phone
(408) 899-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31865 CA Primary

Addresses

Primary practice location

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

Mailing address

1354 The Alameda
#11
San Jose, CA 95126-5000
Phone (408) 899-2288

Other names 1

  • Dynamic Body Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1354 The Alameda
Ste 11
San Jose, CA 95126
Phone (408) 899-2288

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1881079861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 THE ALAMEDA",
            "address_2": "#11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265000",
            "telephone_number": "408-899-2288",
            "fax_number": "408-982-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 THE ALAMEDA",
            "address_2": "#11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265000",
            "telephone_number": "408-899-2288",
            "fax_number": "408-982-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM DYNAMIC BODY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JIYONG",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "408-899-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Body Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.