Sean Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60877945 Issued in WA

Practice address

15015 Main St Ste 106
Bellevue, WA 98007-5229

Phone

(425) 643-4454

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• CWC Group, PS

  • Chiropractor
  • Bellevue, WA
  • NPI 1831659424
  NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1982186813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13416 NE 102ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335233",
            "telephone_number": "206-822-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 MAIN ST STE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075229",
            "telephone_number": "425-643-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60877945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa C Kim, DDS
• Marshall Kim, N.P.
• Minju Kim, LH61111580
• Nam Hyoung Kim, LAC., OMD
• Sang U Kim, M.D.
• Seongeun Kim, PHARM.D
• Sooyeon Kim, M.D.
• Stephen Joseph Kim, D.D.S.
• Steve Hoonsang Kim, M.D.
• Sun Hu Kim, PHARMD

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.