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SSUNG J KIMMI DC
NPI 1912026196
Chiropractor in Beaverton, OR

Active since March 28, 2007Accepts Medicare Assignment
12795 SW 3RD ST., BEAVERTON, OR 97005(503) 641-4244(503) 641-0551 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ssung J Kimmi Dc NPPES

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

SSUNG J KIMMI DC (NPI 1912026196) is an individual chiropractor in Beaverton, Oregon, licensed in Oregon (3444) and active in the NPI registry since March 2007. He is a graduate of Cleveland Chiropractic College - Los Angeles (1999).

NPPES Registry Identity

NPI1912026196
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSSUNG J KIMMICredential: DC
Location Address12795 SW 3RD ST.Beaverton, OR 97005
Mailing Address12795 Sw 3rd St.Beaverton, OR 97005 · (503) 641-4244 · Fax (503) 641-0551
Phone(503) 641-4244
Fax(503) 641-0551
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1999
Enumeration DateMarch 28, 2007
Last NPPES UpdateDecember 8, 2011
✔ NPI 1912026196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in OR · 3444✔ Licensed in OR · 273444
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.
12795 SW 3RD ST., Beaverton, OR 97005
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Other Identifiers 3

Medicare UPINU97679OR
Medicare PINR117228OR
Other858521000OR · Health Insurance Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Ssung J Kimmi Dc 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 ID1153224159
PECOS Enrollment IDI20040128000655

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 Ssung Kimmi's NPI number?

The NPI number for Ssung Kimmi is 1912026196. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Ssung Kimmi located?

Ssung Kimmi practices at 12795 SW 3rd St., Beaverton, OR 97005. The listed phone number is (503) 641-4244.

What is Ssung Kimmi's specialty?

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

Is Ssung Kimmi enrolled in Medicare?

Yes. Ssung Kimmi 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 Ssung Kimmi accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ssung Kimmi 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 Ssung Kimmi was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.