Joseph Sunil Kim, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

43993 Issued in CA

Practice address

700 E El Camino Real
Suite # 220
Mountain View, CA 94040-2804

Phone

(650) 938-9280

Fax

(650) 938-9282

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 2, 2019 through Dec 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph S Kim, DMD, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Mountain View, CA
  • NPI 1942752969
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003965963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E EL CAMINO REAL",
            "address_2": "SUITE # 220",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402804",
            "telephone_number": "650-938-9280",
            "fax_number": "650-938-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E EL CAMINO REAL",
            "address_2": "SUITE # 220",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402804",
            "telephone_number": "650-938-9280",
            "fax_number": "650-938-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "43993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Khurana, M.D.
• Duke Trinh Khuu, MD FAAD
• Keith Ky Khuu, DDS
• Maciej J Kieturakis
• Eugene Kim, MD
• Min Jeong Kim
• Moonjung April Kim, PHARMD
• Sooyoung Kim, DMD
• Tai Yun Kim, D.C.
• Winston Kim

• Oral and Maxillofacial Pathology Dentistry in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.