NPIMap

Organization Active NPI

Jong Kyu Kim, D.C., P.C.

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1952529018
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JONG KYU KIM, D.C., P.C.
Doing business as
ming chiropractic and aisan medicine center
Practice address
1291 Old Peachtree Rd NW Ste 423
Suwanee, GA 30024-2033
Phone
(770) 945-9035
Fax
(770) 814-9277
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Jong Kyu Kim, D.C.NPI 1861568610
Title
Director
Phone
(770) 945-9035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1291 Old Peachtree Rd NW Ste 423
Suwanee, GA 30024-2033

Mailing address

1291 Old Peachtree Rd NW Ste 423
Suwanee, GA 30024-2033
Phone (770) 945-9035

Other names 1

  • ming chiropractic and aisan medicine center Doing business as

National Provider Directory

National Provider Directory

Locations

1291 Old Peachtree Rd NW
Ste 423
Suwanee, GA 30024
Phone (770) 945-9035

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1952529018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 OLD PEACHTREE RD NW STE 423",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242033",
            "telephone_number": "770-945-9035",
            "fax_number": "770-814-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 OLD PEACHTREE RD NW STE 423",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242033",
            "telephone_number": "770-945-9035",
            "fax_number": "770-814-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG KYU KIM, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-945-9035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ming chiropractic and aisan medicine center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.