Kyong H Kim DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4145 Issued in SC

Legal business name

KYONG H KIM DDS LLC

Practice address

6941 North Trenholm Road
Columbia, SC 29206-1715

Phone

(803) 743-9894

Fax

(803) 743-9896

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kyong H Kim, DDS

Title

Owner

Phone

(803) 528-3383

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780738112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 NORTH TRENHOLM ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-743-9894",
            "fax_number": "803-743-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 NORTH TRENHOLM ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-743-9894",
            "fax_number": "803-743-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYONG H KIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-528-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4145",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047812",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4145",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Kwiatkoski, PHARMD
• Kara Anne Kwiatkowski, DO
• Hyeon Jun Kwon, DDS
• Austin W Kyles, DC
• Kynora Medical Group, LLC
• Renee I. L'Ecuyer, APRN-BC
• Megan Elizabeth La Force
• La Medical Billing Services
• Ramil Labiran, REGISTERED NURSE
• Laura Mesa Laboone, MD

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.