Organization Active NPI

Hyun Dong Kim DDS LLC

  • General Practice Dentistry
  • Ellicott City, MD
National Provider Identifier
1487516571
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HYUN DONG KIM DDS LLC
Practice address
9275 Baltimore National Pike Ste 103
Ellicott City, MD 21042-3943
Phone
(410) 461-3747
NPI assigned
Nov 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
David Kim, DDSNPI 1790047306
Title
Dentist
Phone
(734) 846-4863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9275 Baltimore National Pike Ste 103
Ellicott City, MD 21042-3943

Mailing address

9275 Baltimore National Pike Ste 103
Ellicott City, MD 21042-3943
Phone (410) 461-3747

National Provider Directory

National Provider Directory

Locations

9275 Baltimore National Pike
Ste 103
Ellicott City, MD 21042
Phone (410) 461-3747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1487516571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-461-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 BALTIMORE NATIONAL PIKE STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423943",
            "telephone_number": "410-461-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN DONG KIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-846-4863",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.