Young Kyu Kim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02326100 Issued in NJ

Practice address

924 Route 10 West
Randolph, NJ 07869

Phone

(973) 598-9555

Fax

(973) 598-9559

NPI assigned

May 14, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• West Morris Dental PC

  • General Practice Dentistry
  • Hackettstown, NJ
  • NPI 1932637618
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1730394354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WALL ST W APT 6108",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713541",
            "telephone_number": "917-523-4788",
            "fax_number": "973-598-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 ROUTE 10 WEST",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-598-9555",
            "fax_number": "973-598-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "KYU",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02326100",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Kiernan
• Grace G Kim, D.P.T.
• Jason Kim, DO
• Joseph Kim, M.D.
• Minju Kim
• Mindy Strauss Kirschner, MA,CCC/SLP
• Kishwar Shareef MD PC
• Brian Jeffrey Klein, D.M.D
• Jessica M Kluge, LCSW
• Carrie Ann Knowlton, PT, DPT

• General Practice Dentistry in Randolph, NJ
• Providers in Randolph, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.