Active NPI
Gilbert Y Kim, DDS
- Dentist
- Flushing, NY
National Provider Identifier
1700925203
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 18, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 037981-1
- Practice address
- 13336 41St Rd # 2Q
Flushing, NY 11355-3666 - Phone
- (347) 804-8465
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 037981-1 | NY | Primary |
Addresses
Primary practice location
13336 41St Rd # 2Q
Flushing, NY 11355-3666
Mailing address
22902 Horace Harding Expy # 2
Oakland Gardens, NY 11364-2434
Phone (347) 804-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037981-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1700925203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22902 HORACE HARDING EXPY # 2",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642434",
"telephone_number": "347-804-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13336 41ST RD # 2Q",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553666",
"telephone_number": "347-804-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GILBERT",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "037981-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.