Individual provider Active NPI

Kathy Chong Eun Kim, DDS

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1588143754
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203655 Issued in CO
Practice address
4760 W Mineral Ave Ste 60
Littleton, CO 80128-2540
Phone
(303) 327-9553
NPI assigned
Aug 9, 2018
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00203655 CO Primary

Addresses

Primary practice location

4760 W Mineral Ave Ste 60
Littleton, CO 80128-2540

Mailing address

360 S Monroe St Apt 523
Denver, CO 80209-3735
Phone (720) 236-4520

Other practice location 1

18240 E 104th Ave Unit 201
Commerce City, CO 80022-0660
Phone (303) 928-7838

Other practice location 2

6262 S Parker Rd Unit 300
Centennial, CO 80016-1392
Phone (303) 690-4500

Other names 1

  • Dr. Kathy Hong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203655COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Park Dental Care, LLC General Practice Past Accepting new patients
Reunion Dental Care, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1588143754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S MONROE ST APT 523",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093735",
            "telephone_number": "720-236-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W MINERAL AVE STE 60",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801282540",
            "telephone_number": "303-327-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18240 E 104th Ave Unit 201",
            "address_purpose": "LOCATION",
            "city": "Commerce City",
            "state": "CO",
            "postal_code": "800220660",
            "country_code": "US",
            "telephone_number": "303-928-7838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6262 S Parker Rd Unit 300",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800161392",
            "country_code": "US",
            "telephone_number": "303-690-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KATHY",
        "middle_name": "CHONG EUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HONG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

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