Gina Kim DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

019026234 Issued in IL

Legal business name

GINA KIM DDS PC

Practice address

2833 N Milwaukee Ave
Chicago, IL 60618-7403

Phone

(773) 772-8400

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gina Kim, DDSNPI 1255721197

Title

Dentist

Phone

(773) 592-5562

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina Kim, DDS

  • Dentist
  • Chicago, IL
  • NPI 1255721197
  NPD (past) Authorized official
• Theodore Michael Siegel, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1619166725
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1851796486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 N ASHLAND AVE",
            "address_2": "2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-592-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187403",
            "telephone_number": "773-772-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA KIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-592-5562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Gimpel Wolff, MSW, LCSW
• Grace Everett Gimpel
• Brian Christopher Gin, M.D., PH.D.
• Phuc Nhoc Gin, PA-C
• Gina E Sims DPM PC
• Gina L. Tambornini DDS Inc
• Mark Gindi, MD
• Juliette Giner, MD
• Monica Joan Gingell, DNP, FNP-BC
• Pavan Mahima Chowdhry Ginjupalli

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.