DR. TAE KYONG KIM (NPI# 1831603067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831603067 |
| Entity Type | Individual |
| Full Name | DR. TAE KYONG KIM |
| Credential | DC |
| Practice Address |
3740 Colony Dr Ste 150 San Antonio TX 78230-2290 |
| Mailing Address |
4801 Gus Eckert Rd Apt 828 San Antonio TX 78240-4121 |
| Practice Telephone | 2102754600 |
| Mailing Telephone | 2103812218 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13459 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1962906487 | Tae Y Kim | Student in an Organized Health Care Education/Training Program | 4020 Olmsted Ave, Los Angeles, CA 90008-2628 | 2018-03-20 |
| 1710400296 | Tae Hee Kim | Acupuncturist | 520 S Virgil Ave Ste 503, Los Angeles, CA 90020-1452 | 2017-07-17 |
| 1427579531 | Tae Kim | Case Manager/Care Coordinator | 5837 192nd St Fl 2, Fresh Meadows, NY 11365-2237 | 2017-06-28 |
| 1164876561 | Tae Sik Kim | Acupuncturist | 3701 50th St W, Rosamond, CA 93560-6725 | 2016-04-21 |
| 1891949368 | Tae Jung Kim | Specialist | 6123 229th St Fl 2, Oakland Gardens, NY 11364-2422 | 2008-11-11 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| 1174734719 | Tae Kim | Acupuncturist | 2040 Pacific Coast Hwy Ste Q, Lomita, CA 90717-2660 | 2007-05-25 |
| 1568512085 | Tae Kun Kim | Chiropractor | 3620 W Pioneer Dr Ste 109, Irving, TX 75061-1515 | 2007-01-10 |
| 1689748642 | Tae Soo Kim | Dentist | 275 Dekalb Pike Unit 101, North Wales, PA 19454-1807 | 2006-11-20 |
| Street Address |
3740 COLONY DR STE 150 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1073128682 | Ashley Escamilla Boerner & Associates LLC | Chiropractor | 12227 Huebner Rd Ste 102, San Antonio, TX 78230-1251 | 2020-09-10 |
| 1407466717 | Elida Ann Ramos | Chiropractor | 3011 S Flores St, San Antonio, TX 78204-2634 | 2020-08-03 |
| 1487289682 | Scott Castle | Chiropractor | 15739 San Pedro Ave, San Antonio, TX 78232-3726 | 2020-03-08 |
| 1912531328 | Alisa Sharma | Chiropractor | 7338 Louis Pasteur Dr Ste 101, San Antonio, TX 78229-4590 | 2020-02-24 |
| 1407499627 | Darian Moseley | Chiropractor | 8527 Village Dr Ste 101, San Antonio, TX 78217-5507 | 2019-10-21 |
| 1285276543 | Stone Oak Chiropractic | Chiropractor | 510 Med Ct Ste 207, San Antonio, TX 78258-3484 | 2019-10-08 |
| 1740746346 | Federal Medical Solutions | Chiropractor | 4423 Nw Loop 410 Ste 203, San Antonio, TX 78229-5186 | 2019-02-19 |
| 1023574803 | Cynthia Fierro-gomez | Chiropractor | 4804 Research Dr, San Antonio, TX 78240-5004 | 2019-02-15 |
| 1689140980 | Brianne Kerry Schroeder | Chiropractor | 9910 Huebner Rd Ste 150a, San Antonio, TX 78240-1399 | 2018-10-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on DR. TAE KYONG KIM.
| 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.