Chol Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013479 Issued in GA

Practice address

2494 Jett Ferry Rd
Ste101
Dunwoody, GA 30338-3090

Phone

(770) 393-1524

Fax

(770) 393-1572

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1124196209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 JETT FERRY RD",
            "address_2": "STE 101",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383090",
            "telephone_number": "770-393-1524",
            "fax_number": "770-393-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 JETT FERRY RD",
            "address_2": "STE101",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383090",
            "telephone_number": "770-393-1524",
            "fax_number": "770-393-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHOL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049427-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onyeah Kenner
• Gurusahay Singh Khalsa, D.C., LAC.
• Uroosa Khan
• Edwin Michael Kilbourne, MD
• Abraham Kim, DDS
• James Kinahan, MD
• Andrew Bartley King, D.P.T.
• Lindsey Kirshner
• Thomas Koepke, OD
• Indu Kollu, PHARMD

• General Practice Dentistry in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.