Kook Kan Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0022669 Issued in PA

Practice address

5438 N Lawrence St
Philadelphia, PA 19120-2804

Phone

(215) 224-2110

Fax

(215) 224-6452

NPI assigned

Jun 9, 2006

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

Other identifiers 1

Other names 1

• Dr. Hi Sook Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932140084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 N LAWRENCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202804",
            "telephone_number": "215-224-2110",
            "fax_number": "215-224-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 N LAWRENCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202804",
            "telephone_number": "215-224-2110",
            "fax_number": "215-224-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KOOK",
        "middle_name": "KAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "0022669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "010238",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HI",
            "last_name": "KIM",
            "middle_name": "SOOK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Juen Kim, M.D.
• Julia Suh Yun Kim
• Julie Sun Kim, MD
• Juliette Kim, PHARM.D.
• Junhee Kim
• Kristine Kim, DO
• Kwon Soo Kim, MD
• Larry Inlip Kim, MD
• Laura Xiaoyan Kim, PHARMD
• Lauren Hayan Kim

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.