Jinah Kim

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN124259 Issued in GA

Practice address

105 Parker Dr # a
Lagrange, GA 30240-6436

Phone

(706) 884-3636

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jinah Lee Other 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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1821821943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PARKER DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302406436",
            "telephone_number": "706-884-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PARKER DR # A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302406436",
            "telephone_number": "706-884-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JINAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.007456-C1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN124259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINAH",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DMD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kid Station Pediatrics P.C
• Kid'S Zone Dentistry, LLC
• Kids Zone Behavioral Health, Inc
• Kids Zone Dentistry & Lagrange Family Dental
• James G Killebrew Jr., M.D.
• Joo Young Kim, PHARMD
• Katie Kinsey, PP, BS
• Loletha Kirkland
• Sarah Kitchens, PHD, LPC, NCC
• Michelle Klein, DC

• Endodontics in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.