Brian Dae-Yong Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BK9436569 Issued in HI

Practice address

1580 Makaloa St
Suite 535
Honolulu, HI 96814-3291

Phone

(808) 979-2875

Fax

(808) 979-7575

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1841206786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 535",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143291",
            "telephone_number": "808-979-2875",
            "fax_number": "808-979-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 535",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143291",
            "telephone_number": "808-979-2875",
            "fax_number": "808-979-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRIAN",
        "middle_name": "DAE-YONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "BK9436569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543422-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000244343",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "8518",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE",
            "identifier": "2055",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Kim Sr.
• Alexandra Kim
• Bobby H. Kim, DMD
• Boyeon Kim
• Brendan Jun Woo Kim, MD
• Charles Ock Kim Jr., MD
• Chloe Sukyoung Kim, PHARMD
• Choon Kim, PHARM.D.
• Christine Kim, MD
• Christine Kim, D.D.S.

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.