David Kim

Primary specialty

DentistTaxonomy code 122300000X

License

019025668 Issued in IL

Practice address

5470 W Madison St
Chicago, IL 60644-4031

Phone

(773) 287-2277

Fax

(773) 287-2573

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in IL

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356545263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444031",
            "telephone_number": "773-287-2277",
            "fax_number": "773-287-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dami Kim
• Daniel Kim, MD
• Daniel Kim, APRN, CNP
• Daniel Kim, MA
• Daniel Y Kim, D.D.S.
• David Dong Jin Kim
• David H Kim, PHARMD
• David Sungjin Kim, M.D.
• DO Young Kim, MD
• Donghwan Kim, M.D.

• All providers in Chicago, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.