Mary Ann Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

233 S Wacker Dr
Lower Level 1
Chicago, IL 60606-6306

Phone

(312) 993-0800

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mary Ann Kim, DDS., PC

  • Dentist
  • Chicago, IL
  • NPI 1598618050
  NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508998782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N COLUMBUS DR APT 2701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017820",
            "telephone_number": "312-405-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S WACKER DR",
            "address_2": "LOWER LEVEL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066306",
            "telephone_number": "312-993-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Kim, RDN, LDN
• Lisa Jisun Kim
• Lotus Kim, NP
• Marcus Kim, PHARMD
• Mary Kim, D.M.D.
• Max H Kim, D.D.S.
• Mi Kyung Kim, M.D.
• Michael Kim
• Michelle Julie Kim, MD
• Miji Kim, DMD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.