Sun Kun Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015694 Issued in GA

Practice address

2090 Dunwoody Club Dr
Sandy Springs, GA 30350-5434

Phone

(770) 998-0111

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Sun Kim DMD LLC

  • Dental Clinic/Center
  • Lilburn, GA
  • NPI 1417649310
  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1184118531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 ROXBORO RD NE UNIT 906",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 DUNWOODY CLUB DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303505434",
            "telephone_number": "770-998-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUN KUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hyun Woo Kim
• Eliot Kim
• Min Kim
• Nick Kim, DMD
• Paul Kim, DMD
• Toni Jeanne Kim, MD
• Brittney C King, LPC
• Jaylen King
• Latifah King
• Jessica Mae Kirby, FNP-C

• General Practice Dentistry in Sandy Springs, GA
• Providers in Sandy Springs, 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 Jun 19, 2018; 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.