Richard Kim Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012364 Issued in NY

Legal business name

RICHARD KIM CHIROPRACTIC P.C.

Practice address

2391 Bell Blvd Ste 103
Bayside, NY 11360-2019

Phone

(718) 224-8382

Fax

(718) 224-2844

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Chang Sung Kim, D.C.NPI 1902242258

Title

Chiropractor/ Owner

Phone

(410) 493-8387

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chang Sung Kim, D.C.

  • Chiropractor
  • Bayside, NY
  • NPI 1902242258
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1902220619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BELL BLVD STE 103",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602019",
            "telephone_number": "718-224-8382",
            "fax_number": "718-224-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BELL BLVD STE 103",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602019",
            "telephone_number": "718-224-8382",
            "fax_number": "718-224-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KIM CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "410-493-8387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunghee Rheem
• Sergio Ribeiro, PTA
• Lia L Ricardo, SPECIAL ED. TEACHER
• Christina Ricciardi, FNP
• Riccardo Ricciardi Jr., MD
• Marjorie Riche-Chavannes
• Norman Richmond
• Richon Integrated Health Services-PT&Acupuncture,PLLC.
• Debra J Rickman, RN
• Bianca Maria Riggs

• Chiropractor in Bayside, NY
• Providers in Bayside, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.