Ji Hyun Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

010500 Issued in CT

Practice address

470 Lewis Ave
Meriden, CT 06451-2103

Phone

(203) 440-0499

NPI assigned

Jun 27, 2011

Last updated

Aug 1, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1891081022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512103",
            "telephone_number": "203-440-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512103",
            "telephone_number": "203-440-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI HYUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humnah Khudayar, M.D.
• Joann Kiernan, PHD LPC
• Charles C.S. Kim, M.D.
• Hanna Yoon Ji Kim, MS, LPC
• Inkwiy Kim, M.D.
• Sharon Ann Kim, LCSW
• Jacqueline Kirby, MD
• Carol Helen Kisner-Bothwell, AUD
• Amy S Kleinsmith, MT-BC
• Lawrence Kogan, MD

• Dentist in Meriden, CT
• Providers in Meriden, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.