Savannah Jiyoung Kim, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063803-01 Issued in NY

Practice address

1 Old Middletown Rd # 207
Pearl River, NY 10965-2637

Phone

(845) 536-8387

Fax

(888) 886-7545

NPI assigned

Jan 9, 2008

Last updated

Sep 11, 2026By the provider in NPPES

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. Ji Young Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

DentistAlso: Oral Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Snuggle Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Pearl River, NY
  • NPI 1477463271
  NPD (past) Authorized official

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1841475761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD MIDDLETOWN RD # 207",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652637",
            "telephone_number": "845-536-8387",
            "fax_number": "888-886-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD MIDDLETOWN RD # 207",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652637",
            "telephone_number": "845-536-8387",
            "fax_number": "888-886-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 Main St Ste 2N",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113546517",
            "country_code": "US",
            "telephone_number": "650-293-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 Elm St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065114549",
            "country_code": "US",
            "telephone_number": "475-313-0176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAVANNAH",
        "middle_name": "JIYOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56483",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "14543",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063803-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JI",
            "last_name": "KIM",
            "middle_name": "YOUNG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie K Kelly, MS.ED
• Margaret Rose Kenney, OTR/L
• Deanna Elisabeth Kerins
• Amy Kern
• Diana Khavasova
• Kinga Pieta LCSW PLLC
• Jeffrey Alan Klein, D.M.D
• Rachael Klein
• Aviva Klugmann, AUD
• Charles Knirsch, M.D.

• Pediatric Dentistry in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.