Active NPI
Yongkun Kim, DMD
- General Practice Dentistry
- Elkins Park, PA
National Provider Identifier
1922179258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS029026L
- Practice address
- 8118 Old York Rd
Elkins Park, PA 19027-1423 - Phone
- (215) 635-6900
- Fax
- (215) 635-4601
- NPI assigned
- Nov 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS029026L | PA | Primary |
Addresses
Primary practice location
8118 Old York Rd
Elkins Park, PA 19027-1423
Mailing address
8118 Old York Rd
Elkins Park, PA 19027-1423
Phone (215) 635-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS029026L | PA | MD | General Practice Dentistry |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922179258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 OLD YORK RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271423",
"telephone_number": "215-635-6900",
"fax_number": "215-635-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 OLD YORK RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271423",
"telephone_number": "215-635-6900",
"fax_number": "215-635-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YONGKUN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS029026L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.