Active NPI
Daniel Kim, DMD
- Dentist
- Robins Afb, GA
National Provider Identifier
1033670351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9385
- Practice address
- 655 7TH St BLDG 700-A78
Robins Afb, GA 31098-2227 - Phone
- (478) 327-8059
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9385 | SC | Primary |
Addresses
Primary practice location
655 7TH St BLDG 700-A78
Robins Afb, GA 31098-2227
Mailing address
PSC 3 Box 5252
Apo, AP 96266-0053
Phone (315) 784-4012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9385 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1033670351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 3 BOX 5252",
"city": "APO",
"state": "AP",
"postal_code": "962660053",
"telephone_number": "315-784-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700-A78",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.