Individual provider Active NPI

Henry Rok Kim, DMD

  • General Practice Dentistry
  • Bloomingdale, IL
National Provider Identifier
1366924144
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032197 Issued in IL
Practice address
183 S Bloomingdale Rd Ste 102
Bloomingdale, IL 60108-1454
Phone
(224) 520-8665
Fax
(224) 520-8647
NPI assigned
Aug 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032197 IL Primary
Customized Equipment (DME) 332BC3200X 019.032197 IL

Addresses

Primary practice location

183 S Bloomingdale Rd Ste 102
Bloomingdale, IL 60108-1454

Mailing address

183 S Bloomingdale Rd Ste 102
Bloomingdale, IL 60108-1454
Phone (469) 232-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60876791WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Access Dental LLC General Practice Past Accepting new patients
John E. Monroe DDS PLLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1366924144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 102",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081454",
            "telephone_number": "469-232-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 102",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081454",
            "telephone_number": "224-520-8665",
            "fax_number": "224-520-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HENRY",
        "middle_name": "ROK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032197",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "019.032197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.