Joon H Kim, DPM, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JOON H KIM, DPM, P.A.

Practice address

18104 NW 29TH CT
Miami Gardens, FL 33056-3267

Phone

(352) 262-7073

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Joon Hyung Kim, DPMNPI 1033791017

Title

President

Phone

(352) 262-7073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Joon Hyung Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami Beach, FL
  • NPI 1033791017

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1528895190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18104 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563267",
            "telephone_number": "352-262-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON H KIM, DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON HYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-262-7073",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakenya Johnson
• Sheena Caneteria Johnson
• Thera Elesisus Johnson, CTRS
• Sebastien Jolicoeur, APRN
• Crystal Jolly
• Aimara Esperanza Jorge Diaz, APRN
• Jose Antonio Villamil-Rodriguez
• Jose Luis Fernandez Rojas Aprn LLC
• Fabienne Joseph
• Marie Iveta Joseph

• Foot & Ankle Surgery Podiatrist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.