Kaeun Julia Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00206006 Issued in CO

Practice address

16683 Washington St BLDG 5
Thornton, CO 80023-8970

Phone

(704) 280-0902

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

Yes

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

Locations

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

• Thornton Valley Dental

  • Dental Clinic/Center
  • Thornton, CO
  • NPI 1972033280
  NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1619705043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16683 WASHINGTON ST BLDG 5",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238970",
            "telephone_number": "704-280-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16683 WASHINGTON ST BLDG 5",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238970",
            "telephone_number": "704-280-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KAEUN",
        "middle_name": "JULIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00206006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Kigin, DO
• Ronald L Kilgore
• Bryan Douglas Killam, PHARMD
• Amy B Killingsworth, LCSW
• Cindy Kim
• Albert Joseph King Jr.
• Connor King, PA-C
• Kathleen King, M.A.
• Mary Sue King, LPN
• Melissa King

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.