Yohan Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055234 Issued in NY

Practice address

30 E 40TH St RM 602
New York, NY 10016-1243

Phone

(646) 687-7898

Fax

(646) 650-2700

NPI assigned

Jul 27, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

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

Locations

Interoperability endpoints

• Direct secure messaging: ykim677787@nychhc.direct-ci.com

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.

• Concierge Dental Loft P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1487498358
  NPD Authorized official
• Madison Dental Loft P.C.

  • Dentist
  • New York, NY
  • NPI 1316587512
  NPD Authorized official
• Park Dental Loft P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1457033276
  NPD Authorized official
• Washington Dental Associates

  • General Practice Dentistry
  • Bergenfield, NJ
  • NPI 1366657017
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1831403385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161243",
            "telephone_number": "646-687-7898",
            "fax_number": "646-650-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161243",
            "telephone_number": "646-687-7898",
            "fax_number": "646-650-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02443900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ye Eun Kim
• Yeji Kim, D.O.
• Yejin Kim
• Yeo Jin Kim
• Yijeong Kim
• Yong Beom Kim, PT
• Yong H Kim, M.D.
• Yongjung Kim, MD
• Yongsin Kim
• Yoojin Eugene Kim, DDS

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.