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DR. DAE HEE KIM D.C.
NPI 1073691689
Chiropractor in Fullerton, CA

Active since November 01, 2006
3828 W COMMONWEALTH AVE, FULLERTON, CA 92833(714) 773-9333(714) 773-9337 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dae Hee Kim D.c. NPPES

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

DR. DAE HEE KIM D.C. (NPI 1073691689) is an individual chiropractor in Fullerton, California, licensed in California (DC24722) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1073691689
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DAE HEE KIMCredential: D.C.
Location Address3828 W COMMONWEALTH AVEFullerton, CA 92833-2851
Mailing Address3828 W Commonwealth AveFullerton, CA 92833-2851 · (714) 773-9333 · Fax (714) 773-9337
Phone(714) 773-9333
Fax(714) 773-9337
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1073691689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC24722
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.
3828 W COMMONWEALTH AVE, Fullerton, CA 92833
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Other Names 1

Other Name (5)Dr. David Daehee Kim D.c.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dae Hee Kim D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

D H Kim Chiropractic Inc.
1.2 mi
Chiropractor
5831 BEACH BLVD
Buena Park, CA 90621
  • Reassigned Medicare billing, California enrollment
NPI 1528338159 (714) 994-1671

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

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.
144 services14 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNGRYONG JUN ACUPUNCTURIST
Acupuncturist
3828 W COMMONWEALTH AVE
FULLERTON, CA 92833
Orange County (714) 773-9341
AMBER EUNAH KIM RN
Registered Nurse
3828 W COMMONWEALTH AVE
FULLERTON, CA 92833
Orange County (323) 489-8399

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 Dae Kim's NPI number?

The NPI number for Dae Kim is 1073691689. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. David Daehee Kim D.C..

Where is Dae Kim located?

Dae Kim practices at 3828 W Commonwealth Ave, Fullerton, CA 92833. The listed phone number is (714) 773-9333.

What is Dae Kim's specialty?

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

Is Dae Kim enrolled in Medicare?

Yes. Dae Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dae Kim reassigns Medicare benefits to D H Kim Chiropractic Inc. (Buena Park, 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 Dae 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 Dae Kim was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.