Eukyeom Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27859 Issued in TX

Practice address

13998 Horizon Blvd Ste 140
Horizon City, TX 79928-6599

Phone

(915) 852-0852

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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.

• Healing Dentistry Ep PLLC

  dba EZ dental care

  • Oral Medicine Dentistry
  • El Paso, TX
  • NPI 1548882863
  NPD Authorized official
• Eukyeom Kim DDS PLLC

  • General Practice Dentistry
  • Horizon City, TX
  • NPI 1568853398
  NPD (past) Authorized official
• Oral Healthcare Consulting and Education PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1972469088
  NPD (past)
• Zaragoza Dental Care PLLC

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1679854210
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1780971960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13998 HORIZON BLVD STE 140",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799286599",
            "telephone_number": "915-852-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13998 HORIZON BLVD STE 140",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799286599",
            "telephone_number": "915-852-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 N Zaragoza Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367909",
            "country_code": "US",
            "telephone_number": "915-849-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUKYEOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02475700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ilog
• Fernando Lee Jaquez, PHARMD
• Karina Jasso
• JMJ Homehealth Care
• Alfredo Jurado, DPT
• Bryce Kinnaird
• Martha Irma Lafarelle, L.AC.
• Leading Edge Emergency Physicians, Inc (Leep El Paso)
• Stephannie Lou Legarretta, AGPCNP-BC
• Edna Leon, LVN

• General Practice Dentistry in Horizon City, TX
• Providers in Horizon City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.