Thomas Kunhyo Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6348 Issued in AZ

Practice address

9515 W Camelback Rd Ste 120
Phoenix, AZ 85037-1365

Phone

(623) 877-8110

Fax

(623) 877-9339

NPI assigned

Dec 9, 2006

Last updated

Dec 13, 2023By 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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Arizona Dental Management

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1588228373
  Authorized official Same address or phone
• Sonoran Sky Family Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1346800760
  NPD (past) Authorized official
• Western Dental of Arizona, Inc.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1093851016
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1861552101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371365",
            "telephone_number": "623-877-8110",
            "fax_number": "623-877-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371365",
            "telephone_number": "623-877-8110",
            "fax_number": "623-877-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "middle_name": "KUNHYO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean W Kim, D.O
• So-Yeon Kim
• Sooyeon Tammy Kim, PHARMD
• Stephen L Kim, D.M.D.
• Steven Kim, DDS
• Yong Kim, PHARM. D.
• Young Kyung Kim, DDS
• Julie Kimani, DNP, APRN, FNP-C
• Maureen Mukuhi Kimani
• Lee Alan Kimball, M.D.

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.