Hee Soo Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11255 Issued in CT

Practice address

162 Purdy Hill Rd Unit 2 and 3
Monroe, CT 06468-2115

Phone

(203) 884-8887

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blooming Smile Dental PC

  • Dentist
  • Monroe, CT
  • NPI 1619785870
  NPD Authorized official

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1720489149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MAIN AVE APT 226",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511562",
            "telephone_number": "917-603-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 PURDY HILL RD UNIT 2 AND 3",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682115",
            "telephone_number": "203-884-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEE SOO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mbuyi Kalemba, PA-C
• Karen H. Brody, MD, LLC
• Kelley M Kendall, LCSW
• Leslie Yazluk Kerwin, RPH
• Key Therapy LLC
• KM Counseling, LLC
• David M Knaus, DDS
• Rowena M. Korczeniewski, FNP-BC
• Daniel Kreiner, LMSW
• Micaela Earle Kwochka, PA-S

• General Practice Dentistry in Monroe, CT
• Providers in Monroe, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.