Active NPI
Tae Kim
- General Practice Dentistry
- New York, NY
National Provider Identifier
1386320232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00206711
- Practice address
- 345 E. 24TH Street New York, Ny 10010
New York, NY 10010 - Phone
- (212) 998-9800
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN.00206711 | CO | Primary |
Addresses
Primary practice location
345 E. 24TH Street New York, Ny 10010
New York, NY 10010
Mailing address
345 E. 24TH Street New York, Ny 10010
New York, NY 10010
Phone (212) 998-9800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1386320232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E. 24TH STREET NEW YORK, NY 10010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E. 24TH STREET NEW YORK, NY 10010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00206711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.