Maria C Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053902 Issued in NY

Practice address

603 Greenwich St Ste 1B
New York, NY 10014-7073

Phone

(212) 352-9300

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emagen Dental LLC

  • Periodontics
  • New York, NY
  • NPI 1235646753
  NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1013173111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100147073",
            "telephone_number": "212-352-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100147073",
            "telephone_number": "212-352-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013173111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke K. Kim, M.D.
• Lydia Kim
• Lydia Kim, PA
• Madeline Kim
• Mansoo Kim
• Mary Bo Kyung Kim, MD
• Mi K Kim, R.N.
• Mi NA Kim
• Mi Sun Kim, ANP
• Mi-Jeong Kim, R.P.T.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.