Cho Long Kim NMD PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHO LONG KIM NMD PLLC

Practice address

505 S Madison Dr
Tempe, AZ 85281-7213

Phone

(480) 900-7952

Fax

(480) 999-3346

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Regina Shakespeare

Title

Manager

Phone

(928) 554-5633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1912666348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 N 23RD AVE APT 32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852018",
            "telephone_number": "480-900-7952",
            "fax_number": "480-999-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MADISON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817213",
            "telephone_number": "480-900-7952",
            "fax_number": "480-999-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHO LONG KIM NMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAKESPEARE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-554-5633"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Demonica Chong, OTD, OTR/L

• Multi-Specialty Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.