Martin Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17480 Issued in MD

Practice address

5230 Tuckerman LN Ste 105
North Bethesda, MD 20852-3871

Phone

(703) 307-3668

NPI assigned

Aug 24, 2022

Sex

Male

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 and National Provider Directory roles.

• Mkim Dental LLC

  • Dental Clinic/Center
  • North Bethesda, MD
  • NPI 1245057496
  NPD Authorized official
• Niu Dentistry, LLC

  • Dental Clinic/Center
  • Glen Burnie, MD
  • NPI 1801275052
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1073232971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 GOLD SUNSET WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457407",
            "telephone_number": "703-307-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN STE 105",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523871",
            "telephone_number": "703-307-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feven Kassa Amare, MSW
• Loveleen Kaur, MS, BCBA, LBA
• Samuel S Kessel, MD
• Christine Kim
• Joshua Kim
• Jennifer King
• Madeline R King, PSYD
• Vicki Klein, MSW, LCSW-C
• Sarah Knowlton, FNP
• Isha Kothari, DO

• General Practice Dentistry in North Bethesda, MD
• Providers in North Bethesda, 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 Nov 11, 2024; 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.