Hyungsoo Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038209 Issued in PA

Practice address

351 Loucks Rd Ste E4
York, PA 17404-1740

Phone

(908) 202-3405

NPI assigned

Nov 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1386972834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LOUCKS RD STE E4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041740",
            "telephone_number": "908-202-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LOUCKS RD STE E4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041740",
            "telephone_number": "908-202-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNGSOO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102428000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope M Kieft, PNP
• Andrea Lauren Kilgore, PA-C
• Andrea Doris Kim, MD
• Edward S Kim, D.O.
• Erich N Kim, MD
• John Myungjoong Kim, CRNA
• Tracy A Kimball, COTA/L
• Edwin Kimko, MD
• Barbara Ann Kimpel, RPH
• Yuko Kimura, ATC

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.