Sae Kyu Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9033 Issued in NC

Practice address

1595 Glidewell Dr
Suite 104
Burlington, NC 27215-8253

Phone

(336) 524-0099

NPI assigned

Nov 29, 2010

Last updated

May 2, 2016By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Oler & Assoc. Burlington, P.a.

  dba DentalWorks

  • General Practice Dentistry
  • Burlington, NC
  • NPI 1972917318
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1093017956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 GLIDEWELL DR",
            "address_2": "SUITE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158253",
            "telephone_number": "336-524-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GLIDEWELL DR",
            "address_2": "SUITE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158253",
            "telephone_number": "336-524-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAE",
        "middle_name": "KYU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saadat Ali Khan, M.D.
• Shahzeb Mohammad Khan, MD
• Shaukat Ali Khan, MD
• Kidzcare Pediatrics, PC
• Pamina S Kim, MD
• Contance Ann Kincius, MD
• Bradley Mark King, MD, MPH
• Candace Marie King, LCSW
• Crystal M King, ANP-C
• Lauren Coleman King, LMFTA

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, 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 May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.