{"npi":"1609940113","type":"NPI-1","status":"active","name":{"display":"David Kim M.D.","other":[],"first":"DAVID","last":"KIM","middle":"DAEWHAN","credential":"M.D."},"specialty":{"primary_taxonomy":"2081P2900X","primary_taxonomy_description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","slug":"pain-medicine-physical-medicine-rehabilitation-physician","schema_org_specialty":null,"all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"MI","license":"4301066691"},{"code":"2081P2900X","description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","primary":true,"state":"MI","license":"4301066691"}]},"addresses":[{"purpose":"LOCATION","street_1":"HENRY FORD HEALTH SYSTEM","city":"DETROIT","state":"MI","postal_code":"48202","country_code":"US","street_2":"2799 WEST GRAND BOULEVARD","phone":"3139162436"},{"purpose":"MAILING","street_1":"HENRY FORD HEALTH SYSTEM","city":"DETROIT","state":"MI","postal_code":"48202","country_code":"US","street_2":"2799 WEST GRAND BOULEVARD","phone":"3139162436"}],"license":{"state":"MI","number":"4301066691"},"identifiers":[{"type_code":"01","label":"Other","value":"250Q260840","state":null,"issuer":"BLUE CROSS-BLUE CROSS"},{"type_code":"01","label":"Other","value":"DK066691","state":null,"issuer":"CHAMPUS-CHAMPUS"},{"type_code":"01","label":"Other","value":"DK066691","state":null,"issuer":"COMMERCIAL-COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"447344610","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090424000491","type_code":"14-72","type_desc":"PRACTITIONER - PAIN MANAGEMENT","state":"MI","pac_id":"7719035047"}]},"enumeration_date":"2006-11-17","last_updated":"2018-05-31","_meta":{"source":"NPPES","snapshot_date":"2018-05-31","doc_url":"https://findmynpi.com/api"}}