Si Yul Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063986 Issued in NY

Practice address

455 Central Park Ave Ste 315a
Scarsdale, NY 10583-1097

Phone

(914) 723-5260

NPI assigned

Jul 1, 2021

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

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 and National Provider Directory roles.

• Personal Care Dental of Westchester, PLLC

  • Dentist
  • Scarsdale, NY
  • NPI 1992174890
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1346811296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BARKER AVE APT 321",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011677",
            "telephone_number": "201-983-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE STE 315A",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831097",
            "telephone_number": "914-723-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SI YUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabine Khan, MD
• Yasir Usman Khan, D.M.D.
• Kathleen Darcy Kiely, PT
• Hyung S Kim X, RPH
• Jayoung Kim
• Brian Jeffrey Klein, M.D.
• Melanie Klein
• Robert Klein
• Maia Venturi Kloepfer, M.S ED
• KMR.Marketing LLC

• General Practice Dentistry in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.