Ki Young Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02547600 Issued in NJ

Practice address

464 Hudson Ter
#G107
Englewood Cliffs, NJ 07632-2902

Phone

(201) 816-8000

Fax

(201) 816-9000

NPI assigned

Sep 28, 2013

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1841627452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "#G107",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-816-8000",
            "fax_number": "201-816-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "#G107",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-816-8000",
            "fax_number": "201-816-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KI YOUNG",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-28",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02547600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Kim
• Christine S Kim, RD
• David Daekyung Kim, PHD, LAC
• Eunjeong Kim, LAC
• Hyanglan Kim
• Mi Suk Kim
• Seon K Kim, DC
• Soo K Kim, L.AC
• Sophia Cho Hee Kim
• Soyeon Monica Kim, D.D.S.

• General Practice Dentistry in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.