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KIM CHIROPRACTIC CLINIC, P.A.
NPI 1659557502
Chiropractor in Centreville, VA

Active since January 10, 2008
13880 BRADDOCK RD STE 207, CENTREVILLE, VA 20121(703) 815-2300(703) 815-1313 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Chiropractic Clinic, P.a. NPPES

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

KIM CHIROPRACTIC CLINIC, P.A. (NPI 1659557502) is a healthcare organization registered as a chiropractor in Centreville, Virginia and active in the NPI registry since January 2008. The organization lists Eung Kwon Kim, President/owner, as its authorized official.

NPPES Registry Identity

NPI1659557502
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKIM CHIROPRACTIC CLINIC, P.A.
Location Address13880 BRADDOCK RD STE 207Centreville, VA 20121-2463
Mailing Address13880 Braddock Rd Ste 207Centreville, VA 20121-2463 · (703) 815-2300 · Fax (703) 815-1313
Phone(703) 815-2300
Fax(703) 815-1313
Organization SubpartYes
Authorized OfficialEung Kwon KimPresident/owner · (703) 815-2300
Enumeration DateJanuary 10, 2008
Last NPPES UpdateNovember 25, 2009
✔ NPI 1659557502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104555864
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.
13880 BRADDOCK RD STE 207, Centreville, VA 20121
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU73589VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Chiropractic Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Chiropractic Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eung Kim, D.C.
Chiropractic
NPI 1871526608
8860 COLUMBIA 100 PKWY STE 311
Columbia, MD 21045
(410) 715-3500
✔ Accepts Medicare43 mi

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 Kim Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Kim Chiropractic Clinic, P.A. is 1659557502. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Kim Chiropractic Clinic, P.A. located?

Kim Chiropractic Clinic, P.A. is located at 13880 Braddock Rd Ste 207, Centreville, VA 20121. The listed phone number is (703) 815-2300.

What is Kim Chiropractic Clinic, P.A.'s specialty?

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

Is Kim Chiropractic Clinic, P.A. enrolled in Medicare?

Yes. Kim Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim Chiropractic Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kim Chiropractic Clinic, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim Chiropractic Clinic, P.A. was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.