Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295860393 Deactivated / Inactive NPI Male Practitioner

Dr. John Y. Kim , LAC, DC

Chiropractor • Beaverton, OR

⚠️

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. John Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2007
NPI Deactivation Date February 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Kim, LAC, DC was a registered Chiropractor practicing in Beaverton, OR. Throughout an active medical career spanning 16 years, Dr. Kim provided care at the practice location at 9970 SW BEAVERTON HILLSDALE HWY until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

9970 Sw Beaverton Hillsdale Hwy
Suite 100

Beaverton, OR 970053207

Telephone 5036413444
Fax 5036417626
Associated Practice Facility / Clinic
🏢 Natural Healing Center Facility NPI 1558636159

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
97 Specialists

Practicing in Beaverton, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 2776

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.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9970 SW BEAVERTON HILLSDALE HWY, SUITE 100, BEAVERTON, OR 970053207 (Tel: 5036413444)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9970 SW BEAVERTON HILLSDALE HWY, SUITE 100, BEAVERTON, OR 970053207 (Tel: 5036413444)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KIM, L.AC.,D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2776 in OR)

🟢
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Kim. Be the first to share your experience!

Sign in to leave a review for Dr. John Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295860393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: July 08, 2007
Deactivation Date: February 15, 2023

Mailing Address

9970 Sw Beaverton Hillsdale Hwy, Suite 100

Beaverton, OR 970053207

Phone: 5036413444

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.