Ji Hyun Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19442 Issued in TX

Practice address

1066 Hercules Ave
Houston, TX 77058-2722

Phone

(281) 218-8400

Fax

(281) 486-0824

NPI assigned

Apr 9, 2007

Sex

Female

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 TX

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

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.

• Care Dental P.a.

  • Dentist
  • Dickinson, TX
  • NPI 1598965055
  NPD Authorized official
• Care Dental Clinic PA

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1275645160
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649393174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 HERCULES AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582722",
            "telephone_number": "281-218-8400",
            "fax_number": "281-486-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 HERCULES AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582722",
            "telephone_number": "281-218-8400",
            "fax_number": "281-486-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI",
        "middle_name": "HYUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Joongmyung Kim, M.D.
• Jennifer Kim
• Jeri Kim, M.D.
• Jessica Lauren Kim, MD
• Jessica Min Joung Kim, MD
• Jimin Kim
• Jitae Alexander Kim
• Joanne Kim
• Joanne Yang-Sun Kim, M.D.
• Jonathan Kim

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• 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.