Sejoon Sean Kim, D.D.S. M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

23210 Issued in TX

Practice address

830 S Mason Rd
A-5
Katy, TX 77450-3896

Phone

(281) 392-1130

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760690291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ABALONE CV",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595015",
            "telephone_number": "281-208-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MASON RD",
            "address_2": "A-5",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503896",
            "telephone_number": "281-392-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEJOON",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.  M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kim
• Edward S Kim, DDS
• Jaibum Kim, DDS, MS
• Jonathan T Kim, MD
• Samuel Young Kim, M.D.
• Tae Kyong Kim, DC
• Woihwan Kim, MD
• Yoo Kyung Cha Kim, RBT
• Kimberly Richter
• Christopher Stewart Kimmel, DDS

• Oral and Maxillofacial Surgery (Dentist) in Katy, TX
• Providers in Katy, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.