Edward Kim

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6301 Issued in OR

Practice address

12005 SW 70TH Ave
Tigard, OR 97223-9634

Phone

(503) 208-3579

NPI assigned

Apr 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 100 Chiro Padilla Tran PC LLC

  • Chiropractor
  • Lake Oswego, OR
  • NPI 1386369429
  Medicare reassignment NPD
• Rhodes Chiropractic, LLC

  • Chiropractor
  • Tigard, OR
  • NPI 1275285983
  Medicare reassignment NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1922793371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 SW WILMINGTON LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 SW 70TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239634",
            "telephone_number": "503-208-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Kieu, DO
• David Alexander Killeen
• Brenda Kay Killingsworth, LMT
• Tina Kilton
• Aileen Kim, MD
• Hyoshin Kim, ND
• Rie Kimura-Opperman, D.M.D.
• King City Rehab, LLC
• Foster A King, DPT
• Gates T King

• Chiropractor in Tigard, OR
• Providers in Tigard, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.