So Hee Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33814 Issued in TX

Practice address

618 W Harwood Rd
Hurst, TX 76054-3162

Phone

(817) 270-9217

NPI assigned

Jun 20, 2017

Last updated

Apr 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sohee Kim Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parkdental PLLC

  dba The Colony Dentist

  • Dental Clinic/Center
  • The Colony, TX
  • NPI 1497596001
  NPD Authorized official
• Aa Emergency Dental

  dba Emergency Dental Care USA

  • Dental Clinic/Center
  • Centennial, CO
  • NPI 1578975207
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1316467517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543162",
            "telephone_number": "817-270-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543162",
            "telephone_number": "817-270-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Spring Valley Rd Ste 30",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752448242",
            "country_code": "US",
            "telephone_number": "214-960-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SO HEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001610-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOHEE",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rajat Khadka, PA-C
• Khan Consulting LLC
• Arif Ahmad Khan, M.D.
• Jane Kim, OD
• Kristin Seung Ah Kim
• Kinder Dental Care PLLC
• Kevin S King, CO
• Bonnie Lynn Kitchen, LM, CPM
• Benjamin Joseph Knapp
• Knee Coaster, LLC

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.