DR. KI TAE KIM


Address: 206 N Bascom Ave Ste A, San Jose, CA 95128-1866
Phone: 4089759606

DR. KI TAE KIM (NPI# 1629106117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629106117
Entity Type Individual
Full Name DR. KI TAE KIM
Credential D.C.
Practice Address 206 N Bascom Ave Ste A
San Jose
CA 95128-1866
Practice Telephone 4089759606
Practice Fax Number 4089759616
Mailing Telephone 4089759606
Mailing Fax Number 4089759616
Enumeration Date 2007-02-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor DC27786 CA Chiropractic Providers

Other Providers KI KIM

NPI Name Taxonomy Address Enumeration
1851433882 Ki H Kim Acupuncturist 3020 Wilshire Blvd Ste 220, Los Angeles, CA 90010-1120 2007-02-13
1972045565 Ki Bong Kim Pharmacist 4025 Delridge Way Sw, #400, Seattle, WA 98106-1249 2016-11-14
1447683073 Ki S Kim Nurse Practitioner 130 Park St Se Ste 100, Vienna, VA 22180-4626 2013-08-19
1548556665 Ki H Kim Family Medicine 901 Nevin Ave, Richmond, CA 94801-3143 2011-06-27
1003133638 Ki S Kim Acupuncturist 8202 Ne State Highway 104, Suite 105, Kingston, WA 98346-9454 2010-04-21
1295929636 Ki Sook Kim Preventive Medicine 728 20th St, San Francisco, CA 94107 2007-08-29
1649286618 Ki H Kim Physical Medicine & Rehabilitation 355 E Erie St, Chicago, IL 60611-3167 2006-07-31

Office Location

Street Address 206 N BASCOM AVE STE A
City SAN JOSE
State CA
Zip Code 95128-1866

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556218 Mandy Wong Chiropractor 3058 Marston Way, San Jose, CA 95148-3118 2020-10-22
1629688619 Deepak Rattu Chiropractor 1754 Technology Dr Ste 120g, San Jose, CA 95110-1308 2020-08-04
1902423247 Ernest Luong Chiropractor 360 Kiely Blvd Ste 215, San Jose, CA 95129-1300 2020-07-02
1518597681 Kevin Tri Lam Chiropractor 508 Senter Ct, San Jose, CA 95111-3634 2020-01-17
1295370823 Elise Leung Chiropractor 4323 Moorpark Ave Ste A, San Jose, CA 95129-2075 2019-11-06
1871155291 Jee Won Suh Chiropractor 1645 Willow St Ste 100, San Jose, CA 95125-5112 2019-07-05
1174183610 Kathy Huynh Chiropractor 1261 Lincoln Ave Ste 113, San Jose, CA 95125-3030 2019-06-17
1700441045 Calvin Patrick Nell Chiropractor 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 2019-05-02
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
1386118560 Yang Hsiang Chiropractor 1733 Chesterton Cir, San Jose, CA 95133-1534 2019-01-22
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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