Hyuna Kim, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN19680 Issued in FL

Practice address

2747 E Atlantic Blvd
Pompano Beach, FL 33062-4941

Phone

(954) 781-4670

NPI assigned

Jun 20, 2011

Last updated

Apr 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Pettissheparddentastic LLC

  dba Dentastic Dental Center

  • Dentist
  • Pompano Beach, FL
  • NPI 1467839522
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1962798785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S OCEAN DR APT 1909",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097725",
            "telephone_number": "352-246-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624941",
            "telephone_number": "954-781-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028671",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038733",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Speech,Physical, and Occupational Therapy, Inc (Kids S.P.O.T.)
• Shahab U Kidwai, M.D.
• Kidz Progressive Therapeutic Services
• Elizabeth J Kief
• Kamoi Kiklevich, APRN
• Tae Y Kim
• Kimberly Sands-Kahn DC
• Gina Leslie Kimmey, MS,CCC-SLP
• Rhonda Jean Kincade
• King Circle of Care

• Dentist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.