Joon H Kim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22641 Issued in TX

Practice address

8300 Homestead Rd Ste 3
Houston, TX 77028-2149

Phone

(713) 631-3700

Fax

(281) 888-9571

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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 and National Provider Directory roles.

• Red Bird Dental, PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1780845016
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1326196825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700",
            "fax_number": "281-888-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700",
            "fax_number": "281-888-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jitae Alexander Kim
• Joanne Kim
• Joanne Yang-Sun Kim, M.D.
• Jonathan Kim
• Jongsu Kim
• Ju Hyun Kim, M.D.
• Jumin Kim, DMD
• Jung Soon Kim, M.D.
• Jung Sun Kim, OD
• Jung-Hoon Kim, MD

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Feb 22, 2012; 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.