Hyung Joon Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12953 Issued in MD

Practice address

516 N Rolling Rd Ste 201
Catonsville, MD 21228-4187

Phone

(410) 788-3434

Fax

(410) 788-3493

NPI assigned

Dec 2, 2006

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hyung Joon Kim DDS PC

  dba K&C Family Dentistry

  • General Practice Dentistry
  • Catonsville, MD
  • NPI 1528613460
  NPD Authorized official

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1932277373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S CATON AVE",
            "address_2": "SUITE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271025",
            "telephone_number": "410-525-0100",
            "fax_number": "410-525-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 201",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284187",
            "telephone_number": "410-788-3434",
            "fax_number": "410-788-3493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 S Caton Ave",
            "address_2": "suite 103",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212271025",
            "country_code": "US",
            "telephone_number": "410-525-0100",
            "fax_number": "410-525-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNG",
        "middle_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabari Karunakar Kidiyoor
• Kidney MD LLC
• Donna L Kilmore, LCSW-C
• Chris Unsok Kim, D.M.D.
• Clara Kim
• Hyungeun Kim
• Katherine Heesu Kim, LCPC
• Misoon Kim, FNP
• Yong Kim
• Ashley Samantha Huber Kinder, M.D.

• General Practice Dentistry in Catonsville, MD
• Providers in Catonsville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.