EDWARD KIM
NPI 1922793371
Chiropractor in Tigard, OR

Active since April 10, 2023Accepts Medicare Assignment
12005 SW 70TH AVE, TIGARD, OR 97223(503) 208-3579 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Edward Kim NPPES

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

EDWARD KIM (NPI 1922793371) is an individual chiropractor in Tigard, Oregon, licensed in Oregon (6301) and active in the NPI registry since April 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1922793371
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEDWARD KIM
Location Address12005 SW 70TH AVETigard, OR 97223-9634
Mailing Address12905 Sw Wilmington LnTigard, OR 97224-1794
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2023
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1922793371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 6301
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.
12005 SW 70TH AVE, Tigard, OR 97223

Accepted 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

Edward Kim 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 ID3173987468
PECOS Enrollment IDI20230920004403

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other
12005 SW 70TH AVE
TIGARD, OR 97223
Chiropractor
12005 SW 70TH AVE
TIGARD, OR 97223
Chiropractor
12005 SW 70TH AVE
TIGARD, OR 97223
Specialist
12005 SW 70TH AVE
TIGARD, OR 97223
Clinic/Center (Adult Mental Health)
12005 SW 70TH AVE
TIGARD, OR 97223
Counselor (Mental Health)
12005 SW 70TH AVE
TIGARD, OR 97223

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1922793371. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Edward Kim located?

Edward Kim practices at 12005 SW 70th Ave, Tigard, OR 97223. The listed phone number is (503) 208-3579.

What is Edward Kim's specialty?

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

Is Edward Kim enrolled in Medicare?

Yes. Edward 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 Edward Kim accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Edward 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 Edward Kim was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.