Joseph Kim, D.D.S., D.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013766 Issued in GA

Practice address

2005 Boggs Rd Ste 104
Duluth, GA 30096-4602

Phone

(770) 497-0882

Fax

(770) 497-0861

NPI assigned

Sep 4, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Yes Medical Center LLC

  • General Practice Physician
  • Duluth, GA
  • NPI 1912422726
  NPD (past) Authorized official
• Joseph J Kim DDS PC

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1063948750

  Chiropractor

  NPD (past)
• Sung Yang DC, PC

  • Chiropractor
  • Doraville, GA
  • NPI 1376736702
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1821246729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602",
            "telephone_number": "770-497-0885",
            "fax_number": "770-497-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602",
            "telephone_number": "770-497-0882",
            "fax_number": "770-497-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "credential": "D.D.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dental@yesclinicga.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2005 Boggs Rd Ste 104",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300964602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jina Y. Kim, MD
• Jiyeon Kim, PA
• Jo Myeong Kim, DO
• John Minsung Kim, DACM, L.AC., DIPL.AC
• Jong-Hyun Kim, M.D.
• Joshua Kim, D.D.S.
• Joshuah Sunggon Kim, L.AC.
• Jung Bum Kim, D.C
• Jung H Kim, PT, DPT
• Katherine Hui-Jin Kim

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.