Junhyck Kim, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22DI02596400 Issued in NJ

Practice address

119 1St St
Suite #2
Ho Ho Kus, NJ 07423-1575

Phone

(201) 652-7711

Fax

(201) 652-7350

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Caleb & Tyler Kim DDS LLC

  • Prosthodontics
  • Ho Ho Kus, NJ
  • NPI 1124483250
  NPD (past) Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1275844730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1ST ST",
            "address_2": "SUITE #2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231575",
            "telephone_number": "201-652-7711",
            "fax_number": "201-652-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST ST",
            "address_2": "SUITE #2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231575",
            "telephone_number": "201-652-7711",
            "fax_number": "201-652-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNHYCK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1855438",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02596400",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "057740-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Estilo Kaiser, MD
• Kali Roy a Eklof PHD PA
• Thomas Edward Kavanagh, PSY.D.
• Mary Ann Kezmarsky, PH.D.
• Dong Jin Kim, ACUPUNCTURIST
• Nayoung Kim, LAC
• Sora Kim
• Michael W. Klotz, D.M.D., M.DENT.SC.
• Alexandria Knapp, PT, DPT
• Lindsey Knopf, DPT

• Prosthodontics in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.