Eugene Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8195 Issued in NE

Practice address

11110 Fort St Ste 106
Omaha, NE 68164-2183

Phone

(402) 492-8300

NPI assigned

Jun 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1528990678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N 175TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681186025",
            "telephone_number": "402-213-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 FORT ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642183",
            "telephone_number": "402-492-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Erie St",
            "address_purpose": "LOCATION",
            "city": "Missouri Valley",
            "state": "IA",
            "postal_code": "515551533",
            "country_code": "US",
            "telephone_number": "712-642-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdullahi S Kilo
• Cassandra L Kilpatrick
• Khadra Kilwo, CNA/CAREGIVER
• Kim Norris Speech Therapy Clinic
• Binna Kim, AU.D
• Han Kim, DDS
• Heana Kim
• Hwi Young Kim
• Ji Sun Joy Kim, DO
• Kathryn Mee-Jin Kim, MD

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.