Active NPI
Gina Kim, D.C.
- Chiropractor
- Wailuku, HI
National Provider Identifier
1881759876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC445
- Practice address
- 1958 E Vineyard St
Wailuku, HI 96793-1715 - Phone
- (808) 871-6996
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC445 | HI | Primary |
| Chiropractor | 111N00000X | 18844 | CA |
Addresses
Primary practice location
1958 E Vineyard St
Wailuku, HI 96793-1715
Mailing address
1958 E Vineyard St
Wailuku, HI 96793-1715
Phone (808) 871-6996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O 009437-5 | Other | HI | HI MED. SRV. ASSC. (HMSA) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445 | HI | MD | Clinical Child & Adolescent Psychologist |
| DC445 | HI | MD | Chiropractor |
| 18844 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L Wilcox DC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881759876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 E VINEYARD ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931715",
"telephone_number": "808-871-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 E VINEYARD ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931715",
"telephone_number": "808-871-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC445",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18844",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI MED. SRV. ASSC. (HMSA)",
"identifier": "O 009437-5",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.