Dale Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202690 Issued in CO

Practice address

2020 S Parker Rd Unit F
Denver, CO 80231-5724

Phone

(720) 477-1449

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Dale Kim DDS, PLLC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1689177008
  NPD Authorized official
• Smilematic, PLLC

  • Dental Clinic/Center
  • Aurora, CO
  • NPI 1598351066
  NPD Authorized official
• Edgewater Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Edgewater, CO
  • NPI 1780962589
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1053784207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S PARKER RD UNIT F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S PARKER RD UNIT F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315724",
            "telephone_number": "720-477-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DALE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2021-09-20",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kim
• Angela Juna Kim
• Brian Dongjoon Kim, PHARMD
• Cecilia Kim, LMFT
• Crystal Kim, PHARMD
• Daniel Kim, M.D.
• Darlene Kim, M.D.
• Eva C. Kim, MD
• Franklin P Kim, PH.D.
• Hanna Kim

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.