Robert Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

16848 Issued in TX

Practice address

261 W Exchange Pkwy
Allen, TX 75013-1539

Phone

(972) 727-8149

Fax

(972) 727-7681

NPI assigned

Jan 20, 2016

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.

• The Children'S Dentist of Allen

  • Pediatric Dentistry
  • Allen, TX
  • NPI 1639636939
  NPD (past)
• The Dentist of Allen

  • General Practice Dentistry
  • Allen, TX
  • NPI 1225698004
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1346607462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W EXCHANGE PKWY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750131539",
            "telephone_number": "972-727-8149",
            "fax_number": "972-727-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W EXCHANGE PKWY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750131539",
            "telephone_number": "972-727-8149",
            "fax_number": "972-727-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M. Kim, DDS
• Kensei Hosokawa Kim, RPH
• Mary J Kim, LCSW
• Min Jung Kim, D.C.
• Namju Janie Kim
• Susan J Kim, DDS
• Sylvia Kim
• Kindercare Health Services LLC
• Kindstead Home Care LLC
• Kinetics and Neuro Consultants of Texas, LLC

• Dentist in Allen, TX
• Providers in Allen, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.