DR. CASEY D KIM DC., LAC.
NPI 1639487176
Chiropractor in Anaheim, CA
About Dr. Casey D Kim Dc., Lac. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CASEY D KIM DC., LAC. (NPI 1639487176) is an individual chiropractor in Anaheim, California, licensed in California (31393) and active in the NPI registry since September 2010.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Casey D Kim Dc., Lac. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Casey Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92801
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Casey Kim's NPI number?
The NPI number for Casey Kim is 1639487176. It was assigned to this individual provider in the NPPES registry on September 17, 2010.
Where is Casey Kim located?
Casey Kim practices at 1801 West Romneya Dr Suite 301, Anaheim, CA 92801. The listed phone number is (714) 449-0011.
What is Casey Kim's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Casey Kim enrolled in Medicare?
Yes. Casey Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Casey Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Casey Kim reassigns Medicare benefits to Kim Chiropractic & Acupuncture Inc. (Anaheim, 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 Casey 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 Casey Kim was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Casey D Kim, DC., LAC. · NPI 1639487176
Chiropractor provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since September 17, 2010.
## Identity
- **NPI:** 1639487176 (Entity type: Individual)
- **Enumerated:** September 17, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 31393 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1801 WEST ROMNEYA DR, SUITE 301, Anaheim, CA 92801
- **Phone:** (714) 449-0011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Kim Chiropractic & Acupuncture Inc. (NPI 1760865117, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1639487176) · Data from the CMS NPPES public registry.