Ji Yeon Kim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS042768 Issued in PA

Practice address

1130 Old York Rd
Abington, PA 19001-3710

Phone

(207) 272-5793

NPI assigned

Jul 17, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1689282477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CHESTNUT ST UNIT 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034544",
            "telephone_number": "207-272-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013710",
            "telephone_number": "207-272-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI YEON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit Bahadur Khatrichettri, PA-C
• John Safa Khoury, M.D.
• Kendel G Kidwell, MD
• Sara Kietzman, RN, IBCLC
• Hans Y Kim, M.D.
• Min Soo Kim, M.D.
• So Ri Kim, CRNP
• Kimberly Anne King, MPT
• Rebecca King
• Amanda M Kingston, M.D.

• Dentist in Abington, PA
• Providers in Abington, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.