Active NPI
Rosy Minhye Kim, DDS
- Dental Anesthesiology
- Bridgeport, CT
National Provider Identifier
1285157487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- GA2011
- Practice address
- 144 Boston Ave
Bridgeport, CT 06610-1604 - Phone
- (475) 422-8761
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS043043 | PA | |
| Dentist | 122300000X | 101567 | CA | |
| General Practice Dentistry | 1223G0001X | 13317 | CT | |
| Dental Anesthesiology | 1223D0004X | GA2011 | CA | Primary |
Addresses
Primary practice location
144 Boston Ave
Bridgeport, CT 06610-1604
Mailing address
760 Route 46 # 1019
Parsippany, NJ 07054-3401
Phone (909) 296-2338
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101567 | CA | MD | Dentist |
| DS043043 | PA | MD | Dentist |
| GA2011 | CA | MD | Dentist Anesthesiologist |
| 13317 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream High Dental Anesthesia, LLC | Dental Anesthesiology | Current | Accepting new patients |
Locations
144 Boston Ave
Bridgeport, CT 06610
Phone (203) 437-7561
760 Route 46
#1019
Parsippany, NJ 07054
Organizations & group practices 1
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.
-
- Dental Anesthesiology
- Bridgeport, CT
- NPI 1255084422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1285157487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 ROUTE 46 # 1019",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070543401",
"telephone_number": "909-296-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 BOSTON AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066101604",
"telephone_number": "475-422-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ROSY",
"middle_name": "MINHYE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043043",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101567",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13317",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "GA2011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.