Jekyong Jay Kim, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

62259 Issued in CA

Practice address

100 Calypso LN
Milpitas, CA 95035-8925

Phone

(408) 886-8590

NPI assigned

May 10, 2007

Last updated

Dec 15, 2015By 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

Enrolled in CA

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

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: jjkim@direct.westerndental.com

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.

• Suman Ramakumar DDS Inc

  dba ACCU Dental & Orthodontics

  • General Practice Dentistry
  • Salinas, CA
  • NPI 1558917187

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1225242084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALYPSO LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358925",
            "telephone_number": "408-886-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALYPSO LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358925",
            "telephone_number": "408-886-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEKYONG",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "62259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yih-Ting T Kiang, O.D.
• Kids First Speech and Language Intervention
• Hannah Marie Kiggans, PT, DPT
• Kim Luu D.D.S. Inc.
• Cynthia Jeeyon Kim, D.C.
• Julie Kim, PHARM.D.
• Sarah Kim
• Sung S. Kim, D.C.
• Autumn Ambrose King, P.T.
• David William Charles Knight, RPH

• Periodontics in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.