Active NPI
Homing Kim, DMD
- Periodontics
- Frankfort, KY
National Provider Identifier
1972714756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6465
- Practice address
- 938 Louisville Rd
200
Frankfort, KY 40601 - Phone
- (502) 875-9862
- Fax
- (502) 875-9793
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6465 | KY | Primary |
Addresses
Primary practice location
938 Louisville Rd
200
Frankfort, KY 40601
Mailing address
938 Louisville Road
Suite 200
Frankfort, KY 40601
Phone (502) 875-9862
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 |
|---|---|---|---|
| 6465 | KY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972714756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 LOUISVILLE ROAD",
"address_2": "SUITE 200",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "40601",
"telephone_number": "502-875-9862",
"fax_number": "502-875-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 LOUISVILLE RD",
"address_2": "200",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "40601",
"telephone_number": "502-875-9862",
"fax_number": "502-875-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HOMING",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KY",
"license": "6465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.