Max H Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6002091-15 Issued in WI

Practice address

8501 S Cicero Ave
Chicago, IL 60652-3504

Phone

(773) 284-2241

Fax

(773) 284-1996

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1285623470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523504",
            "telephone_number": "773-284-2241",
            "fax_number": "773-284-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523504",
            "telephone_number": "773-284-2241",
            "fax_number": "773-284-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MAX",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6002091-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jisun Kim
• Lotus Kim, NP
• Marcus Kim, PHARMD
• Mary Kim, D.M.D.
• Mary Ann Kim, DDS
• Mi Kyung Kim, M.D.
• Michael Kim
• Michelle Julie Kim, MD
• Miji Kim, DMD
• Mike Tae Seok Kim, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.