Young S Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

018008 Issued in MI

Practice address

3768 Packard St Ste B
Ann Arbor, MI 48108-2090

Phone

(734) 975-0100

Fax

(734) 975-2509

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Allen W. Seel DDS PC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1356453419
  NPD (past)
• Trinity Dental Health, PLLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1528836632
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023112562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 PACKARD ST STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082090",
            "telephone_number": "734-975-0100",
            "fax_number": "734-975-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 PACKARD ST STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082090",
            "telephone_number": "734-975-0100",
            "fax_number": "734-975-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "018008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seohyeon Kim
• So Hyun Kim
• Sung Moon Kim, MD
• Thomas Sungyeob Kim, DDS, MD
• Yoonjin Kim
• Youngjoo Elaine Kim, D.D.S.
• Youngmee Kim, PHARM.D.
• Kimberly Ann Kimbrel, NP
• Kara Michele Kime, L.L.M.S.W.
• Mara Kimel, D.C.

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.