Jae Ha Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901023211 Issued in MI

Practice address

2700 Hydraulic Rd
Charlottesville, VA 22901-8915

Phone

(434) 973-2968

NPI assigned

May 23, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matthew P Harrison DDS PLLC

  dba Harrison Dental Associates

  • General Practice Dentistry
  • Charlottesville, VA
  • NPI 1407536733
  NPD
• Dental Dreams PLLC

  • General Practice Dentistry
  • Portage, MI
  • NPI 1093122756
  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1902463052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HYDRAULIC RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018915",
            "telephone_number": "313-815-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HYDRAULIC RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018915",
            "telephone_number": "434-973-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE HA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901023211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke S Kilfoil, MD
• Alison Jean Kim, MD
• Dalynn Andreea Kim, MD
• Faith Jihyun Kim
• Heeho Kim, M.D.
• John S Kim, M.D.
• Paul Kim, DO
• Seungyeon Kim
• Suk Chul Kim, AG-ACNP
• Susan Jin Kim, MD

• Dentist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.