Individual provider Active NPI

Yesle Kim, D.M.D.

  • Dentist
  • Drexel Hill, PA
National Provider Identifier
1649633538
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040813 Issued in PA
Practice address
4750 Township Line Rd FL 2
Drexel Hill, PA 19026-4221
Phone
(610) 449-7002
NPI assigned
Mar 30, 2016
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040813 PA Primary

Addresses

Primary practice location

4750 Township Line Rd FL 2
Drexel Hill, PA 19026-4221

Mailing address

4750 Township Line Rd FL 2
Drexel Hill, PA 19026-4221
Phone (610) 449-7002

Other names 1

  • Yesle Kim Traband Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20161026002856 PA Order and Referring Only - DentistPractitioner - Dentist 9032497086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Family and Cosmetic Dentistry CurrentSince Feb 6, 2022 Accepting new patients
Yesle Kim DMD PLLC Dentist CurrentSince Jun 9, 2024 Accepting new patients
Barry I. Cohen, D.M.D. Past Accepting new patients

Locations

4750 Township Line Rd
Fl 2
Drexel Hill, PA 19026
Phone (610) 449-7002

900 Heritage Dr
Ste 905
Pottstown, PA 19464
Phone (610) 323-9030

Organizations & group practices 3

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1649633538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 TOWNSHIP LINE RD FL 2",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264221",
            "telephone_number": "610-449-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 TOWNSHIP LINE RD FL 2",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264221",
            "telephone_number": "610-449-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YESLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESLE",
            "last_name": "TRABAND",
            "middle_name": "KIM",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.