Enoch Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044570 Issued in PA

Practice address

2004 S 5TH St
Allentown, PA 18103-6802

Phone

(610) 791-2307

NPI assigned

May 27, 2020

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayonne Family Dental

  dba North Bergen Dental Group

  • General Practice Dentistry
  • Bayonne, NJ
  • NPI 1376976506
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1427671247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY AVE UNIT 1322",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105781",
            "telephone_number": "631-839-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036802",
            "telephone_number": "610-791-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070022208",
            "country_code": "US",
            "telephone_number": "201-858-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105033",
            "country_code": "US",
            "telephone_number": "203-744-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ENOCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "013323",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02901400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod William Kile, RPH., BCPS
• Anthony Killian
• George Michael Kilzi, MD. JD
• Christine H. Kim, M.D.
• Diane Kim, MD
• Hyejin Kim, C.R.N.P.
• Jaechoon Kim, MD
• Jin Kim, MD
• Joon B Kim, MD
• Jungsoo Kim, MD

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, 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 19, 2024; 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.