Candace Bahk Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557463 Issued in VA

Practice address

6225 Brandon Ave Ste 175
Springfield, VA 22150-2519

Phone

(202) 352-3396

NPI assigned

Sep 16, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1992355473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HARBOR SIDE ST APT 402",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 175",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502519",
            "telephone_number": "202-352-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CANDACE",
        "middle_name": "BAHK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adanech W Kidanie
• Kids Care First
• Jonathan Xavier Kiemel, PA-C
• Alexandra Yates Kienzle, MS OTR/L
• Kim Hien Nguyen, OD PC
• Eun Kim
• Hie C Kim, M.D.
• James Paul Kim, O.D.
• Jong-Yoon Kim
• Kenneth Yong Kim, DC

• Chiropractor in Springfield, VA
• Providers in Springfield, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.