Individual provider Active NPI

Seo Hyun Kim

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cumming, GA
National Provider Identifier
1295437895
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN124309 Issued in GA
Practice address
3195 Trammel Rd Ste 400
Cumming, GA 30041-1335
Phone
(678) 879-3006
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN124309 GA Primary

Addresses

Primary practice location

3195 Trammel Rd Ste 400
Cumming, GA 30041-1335

Mailing address

2735 McGinnis Ferry Rd Unit 3301
Suwanee, GA 30024-5815

Other practice location 1

4395 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-6126
Phone (770) 622-1177

Other practice location 2

2695 Old Winder Hwy Ste 100
Braselton, GA 30517-6100
Phone (678) 879-3006

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

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1295437895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 MCGINNIS FERRY RD UNIT 3301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 TRAMMEL RD STE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411335",
            "telephone_number": "678-879-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4395 Johns Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246126",
            "country_code": "US",
            "telephone_number": "770-622-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Old Winder Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305176100",
            "country_code": "US",
            "telephone_number": "678-879-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEO HYUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN124309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.