Timothy P Kim, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN015412 Issued in GA

Practice address

100 Gates Entry Ste a
Peachtree City, GA 30269-4417

Phone

(770) 460-1527

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1033645171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GATES ENTRY STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694417",
            "telephone_number": "770-487-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GATES ENTRY STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694417",
            "telephone_number": "770-460-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Mitchell Blvd",
            "address_purpose": "LOCATION",
            "city": "Moody AFB",
            "state": "GA",
            "postal_code": "316991500",
            "country_code": "US",
            "telephone_number": "229-257-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015412",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillari Kennedy, DC
• Shelia J. Key, LPC
• Aslam Mohammed Khan, MD
• Zia Khan, MD
• William Kilpela, DC
• Jeromy Jerell King
• Renee S King, FNP-C
• Kingdomway Medical Inc
• Kingdomway Medical Inc.
• Kirsten Miller LLC

• Endodontics in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.