Thomas Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04878 Issued in NH

Practice address

652 Lafayette Rd
Seabrook, NH 03874-4345

Phone

(603) 760-7119

NPI assigned

Jun 15, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Park Dental Group Seabrook PLLC

  dba Aspen Dental

  • General Practice Dentistry
  • Seabrook, NH
  • NPI 1356758932
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1801571021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20722 JORDAN DR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 LAFAYETTE RD",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744345",
            "telephone_number": "603-760-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Jones
• Nancy Wanjiru Kamau, PHARMACIST
• Paul David Kelly
• Sharon M Kelly, CPHT
• Amber Kerby, M.S.
• Younghun Kim
• Kinetix Physical Therapy & Wellness, LLC
• Kyle Knipe, LICSW
• Isabella Koenigs
• Tyler Douglas Lamson, NP

• General Practice Dentistry in Seabrook, NH
• Providers in Seabrook, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.