Hee Sun Kim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039197 Issued in PA

Practice address

280 Trumbauersville Rd
Quakertown Family Dental Center
Quakertown, PA 18951

Phone

(215) 536-1562

NPI assigned

Aug 6, 2012

Last updated

Nov 26, 2013By the provider in NPPES

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

Other names 1

• Heesun Kim Other name

Medicare fee-for-service enrollment

Enrolled in PA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Care Dentistry of Pennsylvania

  • Dentist
  • Quakertown, PA
  • NPI 1902583131
  NPD (past)
• Quakertown Family Dental Center

  • General Practice Dentistry
  • Quakertown, PA
  • NPI 1154439719
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1497002729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129B RUE CHARMILLE RD",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 TRUMBAUERSVILLE RD",
            "address_2": "QUAKERTOWN FAMILY DENTAL CENTER",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEE",
        "middle_name": "SUN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEESUN",
            "last_name": "KIM",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Kerstetter, DP
• Rebecca Ketterer
• Kheir Dental, Inc.
• Kiesel Dental Associates, P.C.
• William A Kiesel, D.D.S.
• Hye-Eun Kim, DMD
• Lisa King, PTA
• Samantha B Kintzly, MS/OTRL
• Erica Leigh Kleinle, C.R.N.P.
• Brittany Knight

• Dentist in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.