Heejung Kim, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

13733 Issued in MD

Practice address

9501 Old Annapolis Rd Ste 200a
Ellicott City, MD 21042-6336

Phone

(410) 740-1484

Fax

(410) 740-1486

NPI assigned

Mar 18, 2007

Last updated

Nov 21, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• HJ Kim DDS, PA

  dba Smart Dental

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1467783092
  NPD (past) Authorized official

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1255455143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 200A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426336",
            "telephone_number": "443-878-0770",
            "fax_number": "410-740-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 200A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426336",
            "telephone_number": "410-740-1484",
            "fax_number": "410-740-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEEJUNG",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13733",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Jones-Fearing M.D. LLC
• Byung-Oh Kim, M.D.
• David H Kim, DDS
• Dong Guk Kim, D.C
• Ellen Kim, RPH
• Henry Kim
• Hyoung Keun Kim, DMD
• Jiwon Kim
• Joy Kim
• Julie Kim

• Dentist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.