Active NPI
Ye Ji Kim
- General Practice Dentistry
- Hanover, MD
National Provider Identifier
1710869565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18938
- Practice address
- 7069 Arundel Mills Blvd
Hanover, MD 21076 - Phone
- (833) 824-3079
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18938 | MD | Primary |
Addresses
Primary practice location
7069 Arundel Mills Blvd
Hanover, MD 21076
Mailing address
8664 N Cedar Ave Apt 203
Fresno, CA 93720-4807
Phone (424) 626-1591
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1710869565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8664 N CEDAR AVE APT 203",
"city": "FRESNO",
"state": "CA",
"postal_code": "937204807",
"telephone_number": "424-626-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7069 ARUNDEL MILLS BLVD",
"city": "HANOVER",
"state": "MD",
"postal_code": "21076",
"telephone_number": "833-824-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YE JI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.