Active NPI
Marie Kim, DMD
- Dentist
- Mount Ephraim, NJ
National Provider Identifier
1942653837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040816
- Practice address
- 51 W Kings Hwy
Mount Ephraim, NJ 08059-1304 - Phone
- (828) 455-7566
- NPI assigned
- Jul 15, 2016
- Last updated
- Jul 15, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS040816 | PA | Primary |
Addresses
Primary practice location
51 W Kings Hwy
Mount Ephraim, NJ 08059-1304
Mailing address
621 16TH Ave SE
Hickory, NC 28602-8324
Phone (828) 455-7566
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 |
|---|---|---|---|
| DS040816 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1942653837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 16TH AVE SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028324",
"telephone_number": "828-455-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 W KINGS HWY",
"city": "MOUNT EPHRAIM",
"state": "NJ",
"postal_code": "080591304",
"telephone_number": "828-455-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Ephraim, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.