Dennis Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6612 Issued in AZ

Practice address

2423 W Dunlap Ave
Phoenix, AZ 85021-2830

Phone

(602) 997-9088

Fax

(602) 944-3803

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598835647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14230 N 19TH AVE UNIT 144",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236763",
            "telephone_number": "480-644-9399",
            "fax_number": "480-668-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212830",
            "telephone_number": "602-997-9088",
            "fax_number": "602-944-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DENNIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Kim Kupfer, M.D.
• Alexander Youngwhan Kim, MD, DDS
• Brandon J Kim, DPM
• Charlene Kim, PHD
• Daniel Chan Kyum Kim, DO
• Eugene M Kim
• Hyun Jae Kim, MD
• Hyun Jung Kim, PHARMD
• Jai Kim, M.D.
• James W Kim, PT, DPT

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.