Hojung Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028428 Issued in IL

Practice address

1290 Bamburg CT
Hanover Park, IL 60133-5257

Phone

(630) 830-4840

Fax

(630) 830-4891

NPI assigned

Aug 4, 2010

Last updated

Mar 24, 2015By the provider in NPPES

Sex

Female

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 IL

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

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.

• Greenbrook Dental

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1720283047
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1770897431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BAMBERG CT.",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257",
            "telephone_number": "630-830-4840",
            "fax_number": "630-830-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257",
            "telephone_number": "630-830-4840",
            "fax_number": "630-830-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HOJUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeneyville School District 20
• Elizabeth Phillips Kelley, PA-C
• James Neal Keper, LCPC
• Salman Khaleeluddin, D.O.
• Nauman Khan
• Najung Kim, DDS
• Yoonjung Kim, D.D.S.
• Desiree Rose Knechtges, RD
• Wan-Ki Wendy Lam
• Elisabeth Layton, PA-C

• General Practice Dentistry in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.