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JOON MYUNG KIM DC
NPI 1205343548
Chiropractor in Montclair, CA

Active since January 09, 2018
4959 PALO VERDE ST STE 100B, MONTCLAIR, CA 91763(909) 626-7100 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joon Myung Kim Dc NPPES

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

JOON MYUNG KIM DC (NPI 1205343548) is an individual chiropractor in Montclair, California, licensed in California (33821) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1205343548
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOON MYUNG KIMCredential: DC
Location Address4959 PALO VERDE ST STE 100BMontclair, CA 91763-2339
Mailing Address4959 Palo Verde St Ste 100bMontclair, CA 91763-2339 · (909) 626-7100
Phone(909) 626-7100
Sole ProprietorNo
Enumeration DateJanuary 9, 2018
✔ NPI 1205343548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 33821
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.
4959 PALO VERDE ST STE 100B, Montclair, CA 91763
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joon Myung Kim Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Advanced Health Center, LLC
816 mi
Chiropractor
130 SW 2ND AVE STE 101
Canby, OR 97013
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group
NPI 1043491178 (503) 263-3033

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.
46 services13 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.

JOO YONG KIM D.C.
Chiropractor
4959 PALO VERDE ST STE 100B
MONTCLAIR, CA 91763
San Bernardino County (909) 626-7100
JUSTIN LIM DC
Chiropractor
4959 PALO VERDE ST STE 100B
MONTCLAIR, CA 91763
San Bernardino County (909) 626-7100

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 Joon Myung Kim's NPI number?

The NPI number for Joon Myung Kim is 1205343548. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Joon Myung Kim located?

Joon Myung Kim practices at 4959 Palo Verde St Ste 100B, Montclair, CA 91763. The listed phone number is (909) 626-7100.

What is Joon Myung Kim's specialty?

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

Is Joon Myung Kim enrolled in Medicare?

Yes. Joon Myung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joon Myung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joon Myung Kim reassigns Medicare benefits to Advanced Health Center, LLC (Canby, OR). 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 Joon Myung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joon Myung Kim accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Joon Myung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joon Myung Kim was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.