Daniel Muhun Kim, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D06240 Issued in AZ

Practice address

6565 E Carondelet Dr Ste 355
Tucson, AZ 85710-3523

Phone

(520) 733-9225

NPI assigned

May 9, 2007

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Cooley Station Kids Dentist and Orthodontics, LLP

  dba Cooley Station Dental Group

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1508959263
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1891909842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 355",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103523",
            "telephone_number": "520-733-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 355",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103523",
            "telephone_number": "520-733-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "MUHUN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6240",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2021030372",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D06240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Killough, CFNP
• Rochelle Ann Kilmer
• Alexander Kim
• Caroline Kim, PHARM.D
• Christopher David Kim, DO
• Darlyne S Kim, AU.D.
• Eun J Kim, PHARM.D.
• Faith Sun-Mi Kim, MD
• Hyun Kim
• Jae Koul Kim, MD

• Periodontics in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.