Susan Jin Kim-Morris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

028913 Issued in PA

Practice address

538 E Lincoln Hwy
Coatesville, PA 19320-3414

Phone

(610) 384-5349

NPI assigned

May 10, 2007

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 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1043424864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203414",
            "telephone_number": "610-384-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203414",
            "telephone_number": "610-384-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-MORRIS",
        "first_name": "SUSAN",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "028913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223412768",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6514707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Kenny
• J Andrew Kerr, PSY.D.
• Keystone Helicopters Corporation
• Gauhar Khurshid, M.D.
• Keri Ann Kilgore, PHDHP
• Susan Taeja Kim, PHARMACIST
• Daniel King
• Sharon Z. Klavans
• Sheree A Klopp, R.D.
• Alexander J. Klufas, M.D.

• All providers in Coatesville, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.