Christine Somyeong Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12725 Issued in NC

Practice address

1460 Kelly Rd
Apex, NC 27502-9001

Phone

(984) 319-2352

NPI assigned

May 10, 2022

Last updated

Oct 2, 2024By the provider in NPPES

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

Enrolled in NC

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.

• Lane and Associates Xxvii DDS PA

  • General Practice Dentistry
  • Knightdale, NC
  • NPI 1639502727
  NPD (past)
• M B Patel DMD PA

  • General Practice Dentistry
  • Knightdale, NC
  • NPI 1134288061
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1518603752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 KELLY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 KELLY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029001",
            "telephone_number": "984-319-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "SOMYEONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Faye Kennedy
• Kenneth J. Benson, DDS
• Christina Key, PHARM.D.
• Parul Amul Kharod, MS, RD, LDN
• Kids in Motion
• Jonathan Kimin Kim, PT
• Stefanie Johnson Kincaid, M.ED, NCC, LPCA
• Justin Kindrick, N.P.
• Donna Usher King, D.C., C.C.S.P.
• Rachel King, MS, CCC-SLP

• General Practice Dentistry in Apex, NC
• Providers in Apex, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.