DR. EDDIE HYUN KIM (NPI# 1326529843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326529843 |
Entity Type | Individual |
Full Name | DR. EDDIE HYUN KIM |
Credential | DC |
Practice Address |
10340 Democracy Ln Ste 203 Fairfax VA 22030-2518 |
Mailing Address |
4656 Autumn Glory Way Chantilly VA 20151-2361 |
Practice Telephone | 7033854773 |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-08-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104557502 | VA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | CHIROPRACTIC LICENSE | 0104557502 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235428525 | Eddie Jihoon Kim | Emergency Medicine | 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052-5078 | 2011-04-07 |
1831241140 | Eddie S. Kim | Internal Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2007-01-17 |
Street Address |
10340 DEMOCRACY LN STE 203 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-2518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
1841858305 | Jerry Cowart IIi | Chiropractor | 8500 Executive Park Ave Ste 300, Fairfax, VA 22031-2228 | 2019-05-30 |
1265914246 | Chiropractic Concepts Plc | Chiropractor | 3857 Plaza Dr, Fairfax, VA 22030-2512 | 2018-09-05 |
1932681277 | Empower Chiropractic LLC | Chiropractor | 9649 Fairfax Blvd, Fairfax, VA 22031-2321 | 2018-09-04 |
1811408685 | Young Chiropractic and Rehab, LLC | Chiropractor | 10400 Eaton Pl Ste 410, Fairfax, VA 22030-2208 | 2017-10-19 |
1417487497 | Robert Tyler Schnitzler | Chiropractor | 3925 Chain Bridge Rd Ste 101, Fairfax, VA 22030-3938 | 2017-06-13 |
1548622483 | Robert J Ciprian | Chiropractor | 8550 Arlington Blvd., Suite 325, Fairfax, VA 22031-4647 | 2016-03-21 |
1508257890 | Monya Tavakoli | Chiropractor | 9693 Main St Ste C, Fairfax, VA 22031-3771 | 2015-02-09 |
1649699109 | Cheon Gyu Park | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030 | 2014-04-14 |
1720406929 | Asa Reuben Frey | Chiropractor | 9526b Lee Hwy, Fairfax, VA 22031-2303 | 2014-04-03 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.