Kim and Kim DDS LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

KIM AND KIM DDS LLC

Practice address

10 N Gaston Ave
Somerville, NJ 08876-2434

Phone

(908) 218-0770

Fax

(908) 218-9789

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Min Hyck Kim, DDSNPI 1134555667

Title

Owner

Phone

(908) 218-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min H Kim, D.D.S

  • Periodontics
  • Somerville, NJ
  • NPI 1134555667
  NPD Authorized official

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1669941696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N GASTON AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762434",
            "telephone_number": "908-218-0770",
            "fax_number": "908-218-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GASTON AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762434",
            "telephone_number": "908-218-0770",
            "fax_number": "908-218-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND KIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "HYCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-218-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY",
            "identifier": "22DJ02489100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Community Living, Inc.
• Keystone Community Living, Inc.
• Christine Victor Khalil, MSW, LSW
• Saba Khan, PSYD
• Vimi Khattar, M.D.
• Henry Kim, MD
• Kevin HS Kim, PHARMD
• Min H Kim, D.D.S
• Kimberly D. Goodrich, LCSW L.L.C.
• Amanda Katelynn Kix, ED.S.

• Periodontics in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.