Individual provider Active NPI

Joseph S. Kim, DDS, JD

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1205037835
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.025670 Issued in IL
Practice address
1940 W Galena Blvd Ste 11
Aurora, IL 60506-4483
Phone
(331) 444-1185
Fax
(630) 466-7405
NPI assigned
May 30, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.025670 IL Primary

Addresses

Primary practice location

1940 W Galena Blvd Ste 11
Aurora, IL 60506-4483

Mailing address

1940 W Galena Blvd Ste 12
Aurora, IL 60506-4483
Phone (331) 444-1185

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

LicenseStateTypeSpecialty
019.025670ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Dental PLLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

769 N Heartland Dr
Ste C
Sugar Grove, IL 60554
Phone (331) 444-1185

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1205037835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W GALENA BLVD STE 12",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064483",
            "telephone_number": "331-444-1185",
            "fax_number": "630-466-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W GALENA BLVD STE 11",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064483",
            "telephone_number": "331-444-1185",
            "fax_number": "630-466-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.