Individual provider Active NPI

Nam Hee Kim, DDS

  • General Practice Dentistry
  • District Heights, MD
National Provider Identifier
1801427372
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16810 Issued in MD
Practice address
6471 Marlboro Pike
District Heights, MD 20747-2843
Phone
(301) 349-3608
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16810 MD
General Practice Dentistry 1223G0001X 16810 MD Primary

Addresses

Primary practice location

6471 Marlboro Pike
District Heights, MD 20747-2843

Mailing address

8202 Hortonia Point Dr
Millersville, MD 21108-1474
Phone (647) 895-6296

Other practice location 1

1147 University Blvd E
Takoma Park, MD 20912-7444
Phone (703) 520-9116

Other practice location 2

1580 Wesel Blvd
Hagerstown, MD 21740-2503
Phone (240) 850-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16810MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1801427372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 HORTONIA POINT DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081474",
            "telephone_number": "647-895-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6471 MARLBORO PIKE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472843",
            "telephone_number": "301-349-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209127444",
            "country_code": "US",
            "telephone_number": "703-520-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Wesel Blvd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217402503",
            "country_code": "US",
            "telephone_number": "240-850-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAM HEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16810",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.