DR. KI TAE KIM D.C.
NPI 1629106117
Chiropractor in San Jose, CA

Q: What is Ki Kim's NPI number?

The NPI number for Ki Kim is 1629106117. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Ki Kim's specialty?

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

Q: Is Ki Kim enrolled in Medicare?

Yes. Ki 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.

Q: When was this NPI record last updated?

The NPPES record for Ki Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 28, 2007Accepts Medicare Assignment

206 N BASCOM AVE STE A, SAN JOSE, CA 95128(408) 975-9606(408) 975-9616 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ki Tae Kim D.c. NPPES

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

DR. KI TAE KIM D.C. (NPI 1629106117) is an individual chiropractor in San Jose, California, licensed in California (DC27786) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2002).

NPPES Registry Identity

NPI1629106117

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KI TAE KIMCredential: D.C.

Location Address206 N BASCOM AVE STE ASan Jose, CA 95128-1866

Mailing Address206 N Bascom Ave Ste ASan Jose, CA 95128-1866 · (408) 975-9606 · Fax (408) 975-9616

Phone(408) 975-9606

Fax(408) 975-9616

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2002

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629106117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC27786

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.

206 N BASCOM AVE STE A, San Jose, CA 95128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ki Tae 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 ID2961784574

PECOS Enrollment IDI20170116000117

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.

85 services11 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 Ki Kim's NPI number?

The NPI number for Ki Kim is 1629106117. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Ki Kim located?

Ki Kim practices at 206 N Bascom Ave Ste A, San Jose, CA 95128. The listed phone number is (408) 975-9606.

What is Ki Kim's specialty?

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

Is Ki Kim enrolled in Medicare?

Yes. Ki 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.

What insurance does Ki Kim accept?

Health plans from Providence Health Plan list Ki 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 Ki Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.