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DR. DAN HAKJAE KIM D.C.
NPI 1053495770
Chiropractor in San Juan Capistrano, CA

Active since October 25, 2006Accepts Medicare Assignment
31371 RANCHO VIEJO RD STE 101, SAN JUAN CAPISTRANO, CA 92675(949) 240-6196(949) 240-9216 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Dan Hakjae Kim D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAN HAKJAE KIM D.C. (NPI 1053495770) is an individual chiropractor in San Juan Capistrano, California, licensed in California (DC27679) and active in the NPI registry since October 2006. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1053495770
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DAN HAKJAE KIMCredential: D.C.
Location Address31371 RANCHO VIEJO RD STE 101San Juan Capistrano, CA 92675-1848
Mailing Address31371 Rancho Viejo Rd Ste 101San Juan Capistrano, CA 92675-1848 · (949) 240-6196 · Fax (949) 240-9216
Phone(949) 240-6196
Fax(949) 240-9216
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1053495770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC27679
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.
31371 RANCHO VIEJO RD STE 101, San Juan Capistrano, CA 92675
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dan Hakjae Kim D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072784206
PECOS Enrollment IDI20120402000665

Medicare Billing Reassignment

Medicare enrollment records show Dan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dan Hakjae Kim, A Professional Chiropractic Corp
0.2 mi
Chiropractor
31105 RANCHO VIEJO RD, C9
San Juan Capistrano, CA 92675
  • Reassigned Medicare billing, California enrollment
NPI 1912286238 (949) 240-6196

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
295 services35 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
67 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Kim's NPI number?

The NPI number for Dan Kim is 1053495770. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Dan Kim located?

Dan Kim practices at 31371 Rancho Viejo Rd Ste 101, San Juan Capistrano, CA 92675. The listed phone number is (949) 240-6196.

What is Dan Kim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dan Kim enrolled in Medicare?

Yes. Dan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dan Kim reassigns Medicare benefits to Dan Hakjae Kim, A Professional Chiropractic Corp (San Juan Capistrano, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dan Kim was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.