Active NPI
Hye Soo Kim, DDS
- Dentist
- New York, NY
National Provider Identifier
1922580406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 059848
- Practice address
- 345 E 24TH St. 4W
New York, NY 10010 - Phone
- (646) 530-4769
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 059848 | NY | |
| Dentist | 122300000X | 059848 | NY | Primary |
Addresses
Primary practice location
345 E 24TH St. 4W
New York, NY 10010
Mailing address
237 E 26TH St, Apt 1H
New York, NY 10010
Phone (646) 530-4769
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 |
|---|---|---|---|
| 059848 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1922580406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 E 26TH ST, APT 1H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "646-530-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 24TH ST. 4W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "646-530-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYE SOO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "059848",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "059848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.