Organization Active NPI

Dennis H. Kim MD LLC

Doing business as Sunshine Allergy

  • Allergy & Immunology Physician
  • Palm Harbor, FL
National Provider Identifier
1578825758
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME101331 Issued in FL
Legal business name
DENNIS H. KIM MD LLC
Doing business as
Sunshine Allergy
Practice address
33920 US Highway 19 N Suite 341
Palm Harbor, FL 34684
Phone
(727) 787-6744
Fax
(727) 786-3561
NPI assigned
Jun 13, 2012
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dennis Hansuk Kim, MDNPI 1871763235
Title
Physician
Phone
(727) 787-6744

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
Allergy & Immunology Physician 207K00000X ME101331 FL Primary

Addresses

Primary practice location

33920 US Highway 19 N Suite 341
Palm Harbor, FL 34684

Mailing address

33920 US Highway 19 N Suite 341
Palm Harbor, FL 34684
Phone (727) 787-6744

Other identifiers 1

IdentifierTypeStateIssuer
014679400MedicaidFL

Other names 1

  • Sunshine Allergy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000610 FL Part B Supplier - Clinic/Group Practice 6204090673 Receives reassigned benefits from 3 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1578825758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N SUITE 341",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-787-6744",
            "fax_number": "727-786-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N SUITE 341",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-787-6744",
            "fax_number": "727-786-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS H. KIM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HANSUK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-787-6744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME101331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014679400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

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