Jeffrey Jin-Hyung Kim, DDS, PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16191 Issued in MD

Practice address

100 Bureau Dr Stop 8546
Gaithersburg, MD 20899-8546

Phone

(310) 310-0282

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1265905186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SUFFIELD DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782648",
            "telephone_number": "310-310-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUREAU DR STOP 8546",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208998546",
            "telephone_number": "310-310-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEFFREY",
        "middle_name": "JIN-HYUNG",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58188",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boo K Kim, MD
• Douglas T Kim, L.AC
• Hyunbo Holly Kim, M.D.
• In Tae Kim
• Jamie Jiyong Kim, D.M.D
• Min Yan Kim, DDS
• Rickey Tae-Hwan Kim, D.O.
• Sally Kim, LCPC
• Siwoo Kim
• You Soun Kim, PHD

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.