Active NPI
Min-Young Kim Case, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dacula, GA
National Provider Identifier
1295473015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN123619
- Practice address
- 3590 Braselton Hwy Ste 100
Dacula, GA 30019-1117 - Phone
- (770) 448-8882
- NPI assigned
- May 23, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN123619 | GA | Primary |
| Dentist | 122300000X | DN123619 | GA | |
| Dentist | 122300000X | RES.004524 | OH |
Addresses
Primary practice location
3590 Braselton Hwy Ste 100
Dacula, GA 30019-1117
Mailing address
660 Ralph McGill Blvd NE Apt 2607
Atlanta, GA 30312-1156
Phone (803) 389-8514
Other names 1
- Dr. Min-Young Kim
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 |
|---|---|---|---|
| RES.004524 | OH | MD | Dentist |
| DN123619 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1295473015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 RALPH MCGILL BLVD NE APT 2607",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121156",
"telephone_number": "803-389-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 BRASELTON HWY STE 100",
"city": "DACULA",
"state": "GA",
"postal_code": "300191117",
"telephone_number": "770-448-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "MIN-YOUNG",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN123619",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123619",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "RES.004524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIN-YOUNG",
"last_name": "KIM",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.