Mellanie Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12706 Issued in TN

Practice address

3819 Cleghorn Ave
Nashville, TN 37215-2507

Phone

(615) 383-2242

NPI assigned

Jun 3, 2013

Last updated

Apr 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tennessee Dental Professionals, PC

  dba Songstad Dental Group

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1194321455
  NPD
• Brent M Songstad DDS of Nashville PC

  • Dental Clinic/Center
  • Nashville, TN
  • NPI 1922454834
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1174960983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507",
            "telephone_number": "615-383-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MELLANIE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12706",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Kim, APRN, BC
• Jenny Jina Kim, MD
• John Kim, DDS
• Justine Mimi Kim
• Lily Yonsoo Kim, MD
• Richard W Kim, DO
• Ryan Kim
• Stephanie Soo-Joong Kim, MD
• Stephen J Kim, MD
• Tae Kon Kim, M.D., PH.D.

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.