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Deactivated NPI 1598813891 Deactivated / Inactive NPI Male Practitioner

Dr. Hisao Jack Kimura , DC

Chiropractor • Denver, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hisao Kimura has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2007
NPI Deactivation Date April 10, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Hisao Kimura, DC was a registered Chiropractor practicing in Denver, CO. Throughout an active medical career spanning 17 years, Dr. Kimura provided care at the practice location at 3545 S TAMARAC DR until profile deactivation on 2024-04-10.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3545 S Tamarac Dr
Suite 150

Denver, CO 802371418

Telephone 3036942700
Fax 3036944454
Associated Practice Facility / Clinic
🏢 Herbert Simons Md Pc Facility NPI 1316071566

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
289 Specialists

Practicing in Denver, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
53 11 $27.41 $27.03

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO 830

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1366509549

Doctor of Chiropractic

NPI 1518024793

Doctor of Chiropractic

NPI 1740347590

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active June 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2008

Registered at 3545 S TAMARAC DR, SUITE 150, DENVER, CO 802371418 (Tel: 3036942700)

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Updated Business Mailing Address June 16, 2008

Registered at 3545 S TAMARAC DR, SUITE 150, DENVER, CO 802371418 (Tel: 3036942700)

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Provider Name / Credentials Updated June 16, 2008

Recorded as HISAO KIMURA, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Chiropractor (License #830 in CO)

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Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598813891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: June 16, 2008
Deactivation Date: April 10, 2024

Mailing Address

3545 S Tamarac Dr, Suite 150

Denver, CO 802371418

Phone: 3036942700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.