Junghwan Kim, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019032642 Issued in IL

Practice address

276 S Weber Rd Unit D
Bolingbrook, IL 60490-1549

Phone

(630) 312-8280

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 2020By the provider in NPPES

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

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.

• Junghwan Kim, DMD, P.C.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1861226714
  NPD Authorized official
• Integrity Dental Associates LLC

  • General Practice Dentistry
  • Bolingbrook, IL
  • NPI 1619217965
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1316557796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 REBECCA LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 S WEBER RD UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901549",
            "telephone_number": "630-312-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNGHWAN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haroon Khan, PHARMACIST
• Vinod V Khandate, PT
• Aaron K Kim, DPM
• Byoung O Kim, MD
• Eliza Kim, DMD
• Yong J Kim, MD
• Karen A King
• Kevin Walter King, DDS
• Latressa Michele Kirksy
• KKB, LLC (Hidden Lakes Dental Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.