Kim & Nam LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM & NAM LLC

Practice address

1797 N Elm St
Commerce, GA 30529-2351

Phone

(706) 335-5501

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Victor Kim, DMDNPI 1073002887

Title

Single Member

Phone

(732) 801-3084

Specialties & licenses 1

Addresses

Other names 1

• Family Smiles of Commerce Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Kim, DMD

  • Student in an Organized Health Care Education/Training Program
  • Camden, NJ
  • NPI 1073002887
  NPD Authorized official
• Homaira Avendano, D.D.S

  • Dentist
  • Commerce, GA
  • NPI 1215259700
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1962269787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 CEDAR GLEN RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602912",
            "telephone_number": "732-801-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 N ELM ST",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305292351",
            "telephone_number": "706-335-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & NAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "732-801-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Smiles of Commerce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson County Health Department
• Jackson County Health Department
• JM Family Enterprises, Inc
• Kaleem Ahmed MD PC
• Douglas Tucker Kemp, PHARM.D., RPH
• Michael Scott Kluska, DO
• Le-Nguyen, D.M.D., P.C.
• Leslie M. Pitts, DMD, Pediatric Dentistry, PC
• Patrick Alan Lockett, HAS
• Amber Leeanne Lowery, FNP-C

• All providers in Commerce, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.