Yoolim Kim, D.M.D., MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN00202712 Issued in CO

Practice address

7384 S Alton Way Ste 101
Centennial, CO 80112-2369

Phone

(303) 721-1173

Fax

(303) 721-1179

NPI assigned

Mar 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Denver Periodontics and Implant Dentistry

  • Periodontics
  • Centennial, CO
  • NPI 1104181940
  NPD (past)
• Heather R Richardson DMD Ms

  • Dental Clinic/Center
  • Centennial, CO
  • NPI 1306245840
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1225209463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 S ALTON WAY STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122369",
            "telephone_number": "303-721-1173",
            "fax_number": "303-721-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7384 S ALTON WAY STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122369",
            "telephone_number": "303-721-1173",
            "fax_number": "303-721-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452532",
            "country_code": "US",
            "telephone_number": "303-724-6970",
            "fax_number": "303-721-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOOLIM",
        "name_prefix": "Dr.",
        "credential": "D.M.D., MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027116",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021002491",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "DEN00202712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyo Kim
• Jaime Kim, REGISTERED NURSE
• Jina Kim
• Judith Kim, PHARMD
• Taejin Kim, LPC
• Kimberley Hoxie, LCSW
• Kimie Connect LLC
• Paul Kimura, D.C.
• Amy Cheng King, PSY.D.
• Breanna Camille King, MED, BCBA

• Periodontics in Centennial, CO
• Providers in Centennial, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.