Paul H Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

57203 Issued in CA

Practice address

433 Market St Ste 102
Camden, NJ 08102-1572

Phone

(856) 963-0315

Fax

(856) 963-0315

NPI assigned

Jan 11, 2007

Last updated

Dec 10, 2024By 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 NJ

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.

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.

• Magic Dental Camden, LLC

  • General Practice Dentistry
  • Camden, NJ
  • NPI 1235610882
  NPD (past)
• MDS Management, Inc.

  • General Practice Dentistry
  • Camden, NJ
  • NPI 1184779985
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1871643064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 MARKET ST STE 102",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021572",
            "telephone_number": "856-963-0315",
            "fax_number": "856-963-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 MARKET ST STE 102",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021572",
            "telephone_number": "856-963-0315",
            "fax_number": "856-963-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kilic, APN
• Anne Kim, MSN, RN, AGACNP-BC
• Helen Wonjai Kim, MD
• Hoon Kim, M.D.
• Nami Kim, D.O.
• Robert Jeahyun Kim, DO
• Rose Kim, MD
• Soohyun Kim
• Tae Won Benjamin Kim, MD
• Victor Kim, DMD

• Dentist in Camden, NJ
• Providers in Camden, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.