Eunice Yoon Suk Kim, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

16870 Issued in MD

Practice address

804 Pershing Dr Ste 102
Silver Spring, MD 20910-4436

Phone

(301) 218-7711

NPI assigned

Apr 27, 2015

Last updated

May 20, 2020By 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

Enrolled in DE

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collins Dental LLC

  • Dentist
  • Newark, DE
  • NPI 1659411957
  NPD (past)
• Collins Dental Ortho Inc

  • Dentist
  • Newark, DE
  • NPI 1497524672
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1225415441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RIPLEY ST APT 1602",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209107434",
            "telephone_number": "443-979-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PERSHING DR STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104436",
            "telephone_number": "301-218-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUNICE",
        "middle_name": "YOON SUK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16870",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthea S Kim, LCSWC
• Christina Lynn Kim
• Christine Lee Kim, DDS
• Derek Taeyoung Kim
• Dong Won Kim
• Haeng -Shik Kim, MD
• Helen Jung-Hee Kim, CRNP
• Jean Kim, M.D.
• Jean He Kim, PHARMD
• Kyung Sik Kim, MD

• Endodontics in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.