Sung H Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28142 Issued in TX

Practice address

700 Alma Dr
Suite #109
Plano, TX 75075-8844

Phone

(972) 423-6804

NPI assigned

Jul 8, 2012

Last updated

Jul 8, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 10, 2017 through Jul 10, 2027

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.

• Keller Town Dental

  • Dentist
  • Keller, TX
  • NPI 1447620133
  NPD (past)
• Kim & Choi Dental P C

  • General Practice Dentistry
  • Plano, TX
  • NPI 1023300043
  NPD (past)
• Nexden LLC

  • Dental Clinic/Center
  • Plano, TX
  • NPI 1740995208
  NPD (past)

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

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341705600000",
    "number": "1477818284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 GRAMERCY OAKS DR",
            "address_2": "APT#210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875335",
            "telephone_number": "903-293-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ALMA DR",
            "address_2": "SUITE #109",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758844",
            "telephone_number": "972-423-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-08",
        "last_updated": "2012-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Joo Eun Kim, FNP-C
• Nancy Y Kim, M.D.
• Phil Joe Kim, DDS
• Ryomin Kim, MD
• Soo Kim, R.D. L.D.
• Suzanne Kim
• Edna Kimanga, NP
• Samantha Kimberly
• Carol Kimble, PHD, LP
• Michelle Kimn

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.