John V Kim DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN V KIM DDS PC

Practice address

438 Theodore St
Loves Park, IL 61111-4056

Phone

(815) 633-7933

NPI assigned

Dec 25, 2006

Organization subpart

No

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

Authorized official

Name

John KimNPI 1316111248

Title

President

Phone

(815) 633-7933

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Kim

  • Dentist
  • Loves Park, IL
  • NPI 1316111248
  NPD (past) Authorized official

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1578628269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 THEODORE ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 THEODORE ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114056",
            "telephone_number": "815-633-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V KIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-633-7933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javid Iqbal
• John M. Jaworowicz, M.D.
• Reginald Jean Gilles
• Jeffrey Dannatt LTD
• Jennifer Dungan OD PLLC
• Matthew Russell Johnsom, EMT
• Terry Joiner, DDS
• Jessica Jordan
• Onyinyechi Chinyere Kalagbor, MD
• Mohammed Kaleemuddin, M.D.

• General Practice Dentistry in Loves Park, IL
• Providers in Loves Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.