Moonsun Kim, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049857 Issued in NY

Practice address

77 Quaker Ridge Rd Ste 210
New Rochelle, NY 10804-2821

Phone

(914) 632-2800

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Rochelle Kids Dental

  • Pediatric Dentistry
  • New Rochelle, NY
  • NPI 1780072165
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1952503799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BROADWAY APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235040",
            "telephone_number": "917-327-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD STE 210",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042821",
            "telephone_number": "914-632-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MOONSUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049857",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0498371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy L Kessler, LCSW
• Donna Khalou
• Inga Khanjyan, MD
• Hemanshu Batish Khanna, O.D.
• Kids Need Occupational Therapy PLLC
• Yoola Kim, PHARMD
• Kind Loyal Service RN Healthcare Services PLLC
• Briana King Rhein
• Mildret Kirkup, LCSW
• Charisse Kirnaz, MD, MS

• Pediatric Dentistry in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.