NPIMap

Organization Active NPI

Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Sun City, AZ
National Provider Identifier
1992552756
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED MINIMALLY INVASIVE SURGICAL
Practice address
13640 N 99TH Ave Ste 200
Sun City, AZ 85351-0001
Phone
(480) 788-5621
Fax
(480) 779-1277
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED MINIMALLY INVASIVE SURGICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Kiup Alexander Kim, MDNPI 1225242985
Title
MD
Phone
(480) 323-6072

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

13640 N 99TH Ave Ste 200
Sun City, AZ 85351-0001

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621

National Provider Directory

National Provider Directory
Tax ID family
Advanced Minimally Invasive6 organizations share this tax ID, including this one
Part of
Advanced Minimally Invasive

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1992552756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N 99TH AVE STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853510001",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MINIMALLY INVASIVE SURGICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED MINIMALLY INVASIVE SURGICAL",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIUP",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "480-323-6072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.