Active NPI
Yeram Kim, DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1174215958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7713
- Practice address
- 7130 W Hefner Rd
Oklahoma City, OK 73162-4502 - Phone
- (405) 595-0585
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7713 | OK | Primary |
Addresses
Primary practice location
7130 W Hefner Rd
Oklahoma City, OK 73162-4502
Mailing address
7909 Cloverdale Way
Yukon, OK 73099-8870
Phone (405) 509-3072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7713 | OK | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1174215958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7909 CLOVERDALE WAY",
"city": "YUKON",
"state": "OK",
"postal_code": "730998870",
"telephone_number": "405-509-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 W HEFNER RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731624502",
"telephone_number": "405-595-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YERAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.