Organization Active NPI

Kim's Chiropractic Clinic Inc

Doing business as Best Spine Clinic

  • Chiropractor
  • Renton, WA
National Provider Identifier
1952875817
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KIM'S CHIROPRACTIC CLINIC INC
Doing business as
Best Spine Clinic
Practice address
4509 Talbot Road South
Suite 104
Renton, WA 98055-5294
Phone
(425) 264-3054
Fax
(425) 207-8546
NPI assigned
Jan 14, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Mr. Tae Yong Kim, D.C.
Title
Chiropractor/President
Phone
(425) 264-3054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4509 Talbot Road South
Suite 104
Renton, WA 98055-5294

Mailing address

4509 Talbot Road South
Suite 104
Renton, WA 98055-5294
Phone (425) 264-3054

Other names 1

  • Best Spine Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1952875817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 TALBOT ROAD SOUTH",
            "address_2": "SUITE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555294",
            "telephone_number": "425-264-3054",
            "fax_number": "425-207-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 TALBOT ROAD SOUTH",
            "address_2": "SUITE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555294",
            "telephone_number": "425-264-3054",
            "fax_number": "425-207-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE YONG",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "425-264-3054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Best Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.