Christopher Chaeho Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00206430 Issued in CO

Practice address

2902 Evergreen Pkwy
Evergreen, CO 80439-7922

Phone

(303) 674-5566

Fax

(303) 674-8911

NPI assigned

Jun 8, 2007

Last updated

Oct 6, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifetime and Cosmetic Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1841521879
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1598968315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MILL VALLEY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343667",
            "telephone_number": "972-948-9574",
            "fax_number": "817-514-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 EVERGREEN PKWY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397922",
            "telephone_number": "303-674-5566",
            "fax_number": "303-674-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 N. tarrant pkwy",
            "address_2": "suite #118",
            "address_purpose": "LOCATION",
            "city": "fort worth",
            "state": "TX",
            "postal_code": "76137",
            "country_code": "US",
            "telephone_number": "972-948-9574",
            "fax_number": "817-514-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHAEHO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00206430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Keeney, DPT
• Kelly S. Last DDS PC
• Rebecca Kennedy, OTR
• Kenneth E. Levos, DDS, PC
• Shawna Michelle Kiker, ND
• Taya King, MA
• Jeannie Jones Kinzie, M.D.
• Phyllis A Kirk, LPC, CACIII
• Dayna Denise Klein, CMT
• Kline Psychology L.L.C (The Psychology Studio of Evergreen)

• Dentist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.