Joon Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14967 Issued in MD

Practice address

19500 Doctors Drive
Germantown, MD 20874

Phone

(301) 540-9090

Fax

(410) 893-1223

NPI assigned

Jun 29, 2011

Last updated

Sep 27, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joon Kim DDS LLC

  • Dental Clinic/Center
  • Germantown, MD
  • NPI 1952957151
  NPD Authorized official
• Bel Air Dental Health Associates

  dba Smile Partners of Bel Air

  • Dentist
  • Forest Hill, MD
  • NPI 1407003684

  General Practice

  NPD (past)
• Gary C. Spinks, DMD, PC

  • Periodontics
  • Germantown, MD
  • NPI 1891987244
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1164719167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 DOCTORS DRIVE",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "410-879-4444",
            "fax_number": "410-893-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 DOCTORS DRIVE",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-540-9090",
            "fax_number": "410-893-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Dental Clinic
• Betty Boyoon Kim
• Esther Nahyun Kim, PHARMD
• Faith Kim
• Jessica Frances Kim, DO
• Minji Kim, FNP
• Mona Kim
• Stella S Kim, PHARM.D., BCACP
• Thomas Sungwook Kim, DDS
• Yun Kim

• General Practice Dentistry in Germantown, MD
• Providers in Germantown, 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 Sep 27, 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.