Hyun Min Kim, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019028417 Issued in IL

Practice address

1198 E Dundee Rd
Palatine, IL 60074-8305

Phone

(773) 398-5822

Fax

(630) 428-2182

NPI assigned

Jul 12, 2010

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

Other names 1

• Dr. Calvin Min Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mi Dental PC

  • Dentist
  • Mt Prospect, IL
  • NPI 1689170318
  NPD Authorized official
• Palatine Sonrisa Dental P.C

  • Dentist
  • Palatine, IL
  • NPI 1720462625
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1285946749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 E DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600748305",
            "telephone_number": "847-716-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 E DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600748305",
            "telephone_number": "773-398-5822",
            "fax_number": "630-428-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUN",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028417",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALVIN",
            "last_name": "KIM",
            "middle_name": "MIN",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sameh L Khella
• Danielle Kiel, LCSW
• Michael Joseph Kies, PHARMD
• Hea Ryun Kim Rhee, MD
• Ashley Yewon Kim, LSW
• Sylvia Kim, DDS
• Jessica King Griffin
• Debra L King
• Kingswellix LLC
• Stephanie R Kirschner, LPC

• Dentist in Palatine, IL
• Providers in Palatine, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.