Ranah Kim, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS035850 Issued in PA

Practice address

1201 County Line Rd
Bryn Mawr, PA 19010-2636

Phone

(610) 525-8485

Fax

(610) 525-8602

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1902094261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "190105776",
            "telephone_number": "610-525-8485",
            "fax_number": "610-525-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102636",
            "telephone_number": "610-525-8485",
            "fax_number": "610-525-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RANAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035850",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS035850",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS035850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dae Hwan Kim, DO
• Daniel Kim, DO
• Elizabeth Megas Kim, M.D.
• Heejin Kim, PH.D.
• Philip S Kim, MD
• Sarah Sunjung Kim, MD
• Young S. Kim, M.D.
• Stella Kimbrough, MSW
• King Motivates, LLC
• Kristen H King, CRNP

• Periodontics in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.