DAN HAKJAE KIM, A PROFESSIONAL CHIROPRACTIC CORP
NPI 1912286238
Chiropractor in San Juan Capistrano, CA

Active since August 04, 2011
31105 RANCHO VIEJO RD, C9, SAN JUAN CAPISTRANO, CA 92675(949) 240-6196(949) 240-9216 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dan Hakjae Kim, A Professional Chiropractic Corp NPPES

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

DAN HAKJAE KIM, A PROFESSIONAL CHIROPRACTIC CORP (NPI 1912286238) is a healthcare organization registered as a chiropractor in San Juan Capistrano, California and active in the NPI registry since August 2011. The organization lists Dan Hakjae Kim, Doctor, as its authorized official.

NPPES Registry Identity

NPI1912286238
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDAN HAKJAE KIM, A PROFESSIONAL CHIROPRACTIC CORP
Location Address31105 RANCHO VIEJO RD, C9San Juan Capistrano, CA 92675-1717
Mailing Address31105 Rancho Viejo Rd, C9San Juan Capistrano, CA 92675-1717 · (949) 240-6196 · Fax (949) 240-9216
Fax(949) 240-9216
Organization SubpartNo
Authorized OfficialDan Hakjae KimDoctor · (949) 240-6196
Enumeration DateAugust 4, 2011
Last NPPES UpdateAugust 11, 2011
✔ NPI 1912286238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 27679
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.
31105 RANCHO VIEJO RD, San Juan Capistrano, CA 92675

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)

Dan Hakjae Kim, A Professional Chiropractic Corp 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 Dan Hakjae Kim, A Professional Chiropractic Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1053495770
31371 RANCHO VIEJO RD STE 101
San Juan Capistrano, CA 92675
(949) 240-6196
✔ Accepts Medicare0.2 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 Dan Hakjae Kim, A Professional Chiropractic Corp's NPI number?

The NPI number for Dan Hakjae Kim, A Professional Chiropractic Corp is 1912286238. It was assigned to this organization in the NPPES registry on August 4, 2011.

Where is Dan Hakjae Kim, A Professional Chiropractic Corp located?

Dan Hakjae Kim, A Professional Chiropractic Corp is located at 31105 Rancho Viejo Rd C9, San Juan Capistrano, CA 92675. The listed phone number is (949) 240-6196.

What is Dan Hakjae Kim, A Professional Chiropractic Corp's specialty?

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

Is Dan Hakjae Kim, A Professional Chiropractic Corp enrolled in Medicare?

Yes. Dan Hakjae Kim, A Professional Chiropractic Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dan Hakjae Kim, A Professional Chiropractic Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dan Hakjae Kim, A Professional Chiropractic Corp. 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 Dan Hakjae Kim, A Professional Chiropractic Corp was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.