Individual provider Active NPI

Francis Kim, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275659229
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027115 Issued in IL
Practice address
2620 N Narragansett Ave
Suite B13
Chicago, IL 60639-1081
Phone
(773) 237-5265
Fax
(773) 237-5385
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019027115 IL Primary

Addresses

Primary practice location

2620 N Narragansett Ave
Suite B13
Chicago, IL 60639-1081

Mailing address

2620 N Narragansett Ave
Suite B13
Chicago, IL 60639-1081
Phone (773) 237-5265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019027115ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1275659229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N NARRAGANSETT AVE",
            "address_2": "SUITE B13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391081",
            "telephone_number": "773-237-5265",
            "fax_number": "773-237-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N NARRAGANSETT AVE",
            "address_2": "SUITE B13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391081",
            "telephone_number": "773-237-5265",
            "fax_number": "773-237-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.