Kim & Kim, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM & KIM, D.D.S., P.A.

Practice address

8801 Baltimore National Pike Ste 17
Ellicott City, MD 21043-4160

Phone

(410) 461-2424

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Pam Bahk

Title

Operations Manager

Phone

(410) 461-2424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ken Kim

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1477606341
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1043905367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 BALTIMORE NATIONAL PIKE STE 17",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434160",
            "telephone_number": "410-461-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 BALTIMORE NATIONAL PIKE STE 17",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434160",
            "telephone_number": "410-461-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & KIM, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "BAHK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-461-2424"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asra Khatoon, RBT
• Bryan Sungkoo Khim, M.D.
• Kids Dental Center, LLC
• Kids' Village Therapy, LLC
• Mary Julie Kieta
• Kim Jones-Fearing M.D. LLC
• Byung-Oh Kim, M.D.
• David H Kim, DDS
• Dong Guk Kim, D.C
• Ellen Kim, RPH

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.