Paul Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-024081 Issued in OH

Practice address

809 N Houk Rd
Delaware, OH 43015-4418

Phone

(740) 990-1030

NPI assigned

Dec 18, 2013

Last updated

Dec 3, 2018By 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

Enrolled in OH

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.

• Delaware Dentistry, Paul Kim DDS, LLC

  • General Practice Dentistry
  • Delaware, OH
  • NPI 1811444912
  NPD (past) Authorized official

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1336560234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PINE SISKIN DR.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HOUK RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154418",
            "telephone_number": "740-990-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Pine Siskin Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432301990",
            "country_code": "US",
            "telephone_number": "419-309-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Kibula
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• Timothy Richard Kieffer, MS. ED., LSW
• Jodi Jean Kiessling, FNP-C
• McKenzie Marie Kill
• Kindness Homecare Services LLC
• Tracy King, PMHNP
• Emily Kingrey, MOTR/L
• Zachary Kinnick, DPT
• Holly Noel Kinzel

• Dentist in Delaware, OH
• Providers in Delaware, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.