Haley Hwajeong Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13839 Issued in NC

Practice address

100 Ridgeview Dr
Mocksville, NC 27028-2020

Phone

(336) 477-2744

Fax

(336) 753-7040

NPI assigned

Jul 5, 2024

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Laurinburg, NC
  • NPI 1053795336
  NPD
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Southeastern Dental Specialists

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  NPD (past)

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1033955364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGEVIEW DR",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282020",
            "telephone_number": "336-477-2744",
            "fax_number": "336-753-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763218",
            "country_code": "US",
            "telephone_number": "910-875-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 McAlpine Ln",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524637",
            "country_code": "US",
            "telephone_number": "910-276-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 W McLean St",
            "address_purpose": "LOCATION",
            "city": "Saint Pauls",
            "state": "NC",
            "postal_code": "283841726",
            "country_code": "US",
            "telephone_number": "910-446-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HALEY",
        "middle_name": "HWAJEONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Karels, M.A. CCC-SLP
• Kevin Chavez DMD - Mocksville, PLLC
• Kevin J. Armbrecht, D.D.S., P.a.
• Kidney Nutrition Care Center LLC
• Michael Warren Kilby, M.D.
• George Douglas Kimberly, M.D.
• Claire Grace King
• Jennifer Kmen, PHARM D
• Brandi Nicole Knight-Harris, MA/EDS, NCC, LPC
• Adam N. Koontz

• General Practice Dentistry in Mocksville, NC
• Providers in Mocksville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.