Young Ho Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019017218 Issued in IL

Practice address

501 W Ogden Ave
Suite 2
Hinsdale, IL 60521-3179

Phone

(630) 323-2345

Fax

(630) 323-2378

NPI assigned

Feb 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Peter Young Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1811136542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 2",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-323-2345",
            "fax_number": "630-323-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 2",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-323-2345",
            "fax_number": "630-323-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "HO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "KIM",
            "middle_name": "YOUNG",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebekah Kiefer
• Mark Kiel, PSY.D.
• Bridget Ann Kikos
• Donna S. Kim, M.D.
• Tony Kim, M.D.
• Nathaniel Andrew Kipker, DO
• Marie Kirincic, M.D.
• Margaret Kirkegaard, MD
• Janet K. Kish, M.D.
• Anne Celinne Kissell, DO

• Dentist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.