Dan Hakjae Kim, a Professional Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27679 Issued in CA

Legal business name

DAN HAKJAE KIM, A PROFESSIONAL CHIROPRACTIC CORP

Practice address

31105 Rancho Viejo Rd
C9
San Juan Capistrano, CA 92675-1717

Phone

(949) 240-6196

Fax

(949) 240-9216

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dan Hakjae Kim, D.C.NPI 1053495770

Title

Doctor

Phone

(949) 240-6196

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Dan Hakjae Kim a Professional Chiropractic Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dan Hakjae Kim, a Professional Chiropractic Corporation

  • Chiropractor
  • Norwalk, CA
  • NPI 1336340272
  NPD tax ID

Locations

Practitioners 1

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

• Dan Hakjae Kim, D.C.

  • Chiropractor
  • San Juan Capistrano, CA
  • NPI 1053495770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1912286238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31105 RANCHO VIEJO RD",
            "address_2": "C9",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751717",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31105 RANCHO VIEJO RD",
            "address_2": "C9",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751717",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN HAKJAE KIM, A PROFESSIONAL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "HAKJAE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "949-240-6196",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry D'Amico
• Marci Dadd, LMFT
• Carol Lorraine Daderian, D.D.S.
• Jeremy Tait Dailey, LMFT, PHD
• Tanya Dall, MD
• Dana Shores Recovery
• Daniel L Fortmann MD PC
• Sugganth Daniel, MD
• Dao Optometric Group
• Nina H Dao

• Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.