Jennifer Suemee Kim, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

23701 Issued in TX

Practice address

1920 W Eldorado Pkwy
Suite #900
McKinney, TX 75069-7962

Phone

(972) 547-6134

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

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.

• Vivian'S Family Dentistry

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1700103959
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1427365907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 BEAVER CREEK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W ELDORADO PKWY",
            "address_2": "SUITE #900",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697962",
            "telephone_number": "972-547-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "middle_name": "SUEMEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "23701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Reiko Killough, CF-SLP
• Kim C Carson
• Kim C. Carson
• Kim Transitions MHT LLC
• Hea Ryung Kim, FNP-C
• Jikyung Kim, FNP-C
• Jimi Kim, FNP-C
• Kyeongseon Kim, DDS
• Mi Hwa Kim, A-GNP-C
• Sarah Nayoung Kim, M.D.

• Prosthodontics in McKinney, TX
• Providers in McKinney, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.