Thomas S Kim DDS PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13098 Issued in MD

Legal business name

THOMAS S KIM DDS PA

Practice address

19522 Doctors Dr
Germantown, MD 20874-5200

Phone

(301) 540-9366

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas S Kim, DDSNPI 1316015134

Title

Owner

Phone

(301) 540-9366

Specialties & licenses 1

Addresses

Other names 1

• Kidz Dental Land Other name

Locations

Practitioners 1

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

• Thomas Sungwook Kim, DDS

  • Pediatric Dentistry
  • Germantown, MD
  • NPI 1316015134
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1720156383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19522 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "301-540-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19522 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "301-540-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S KIM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-540-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "13098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Dental Land",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Training Room Inc
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• Victoria Thee, PA-C
• Therapeutic Tseng LLC
• Thomas F Weidner DPM Chartered
• Benoy Thomas, MSW, LCSW-C, LICSW
• Damaya Thomas
• Erin Taylor Thomas
• Hannah Ruth Thomas
• Kirsten Thomas

• Pediatric Dentistry in Germantown, MD
• Providers in Germantown, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.