NPIMap

Organization Active NPI

Hyung Joon Kim DDS PC

  • General Practice Dentistry
  • Catonsville, MD
National Provider Identifier
1528613460
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HYUNG JOON KIM DDS PC
Doing business as
K&C Family Dentistry
Practice address
516 N. Rolling Rd
#201
Catonsville, MD 21228
Phone
(410) 788-3434
Fax
(410) 788-3493
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Dr. Hyung Joon Kim, DDSNPI 1932277373
Title
President
Phone
(410) 788-3434

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

516 N. Rolling Rd
#201
Catonsville, MD 21228

Mailing address

516 N. Rolling Rd
#201
Catonsville, MD 21228
Phone (410) 788-3434

Other identifiers 1

IdentifierTypeStateIssuer
019312700MedicaidMD

Other names 1

  • K&C Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

516 N Rolling Rd
Ste 201
Catonsville, MD 21228
Phone (410) 788-3434

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": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1528613460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N. ROLLING RD",
            "address_2": "#201",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-788-3434",
            "fax_number": "410-788-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N. ROLLING RD",
            "address_2": "#201",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-788-3434",
            "fax_number": "410-788-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNG JOON KIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNG",
        "authorized_official_middle_name": "JOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-788-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019312700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&C Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.