Active NPI
Andrew Kim
- Dentist
- Nashville, TN
National Provider Identifier
1174810550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9340
- Practice address
- 451 Murfreesboro Pike
Nashville, TN 37210-2842 - Phone
- (615) 256-7543
- NPI assigned
- Jul 6, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9340 | TN | Primary |
Addresses
Primary practice location
451 Murfreesboro Pike
Nashville, TN 37210-2842
Mailing address
451 Murfreesboro Pike
Nashville, TN 37210-2842
Phone (615) 414-8092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9340 | Other | TN | TENNESSEE BOARD OF DENTISTRY |
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 |
|---|---|---|---|
| 9340 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1174810550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 MURFREESBORO PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372102842",
"telephone_number": "615-414-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 MURFREESBORO PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372102842",
"telephone_number": "615-256-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF DENTISTRY",
"identifier": "9340",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.