Active NPIIndividual provider

Katie J Kim, DDS

Dentist in West Springfield, Massachusetts

NPI Number1023624541
Practice location
935 Riverdale St, West Springfield, MA 01089-4656
Fax
—
Last updated
September 27, 2020

Katie Joohee Kim is a Dentist based in West Springfield, MA. Katie Joohee Kim practices in West Springfield, MA and has the professional credentials of DDS. The NPI Number for Katie Joohee Kim is 1023624541 and holds a License No. DN1858813 (MA). The current practice location address for Katie Joohee Kim is 935 Riverdale St, West Springfield, MA 01089-4656 and can be reached out via phone at 313-434-5553.

Provider Profile Details

NPI Number
1023624541
Provider Name
Katie Joohee Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
935 Riverdale St, West Springfield, MA 01089-4656
Phone Number
313-434-5553
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Other Names
Joo Hee Kim (Former Name)
Provider Enumeration Date
September 21, 2020
Last Update Date
September 27, 2020
Certification Date
September 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
935 Riverdale St
West Springfield, MA 01089-4656
Zip
01089-4656
Phone Number
313-434-5553
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
935 Riverdale St
West Springfield, MA 01089-4656
City
West Springfield
State
MA
Zip
01089-4656
Phone Number
413-737-1800

License Information

License Number (1)
DN1858813
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1858813
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie J Kim, DDS?

The NPI number of Katie J Kim, DDS is 1023624541. It was assigned on September 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Katie J Kim, DDS?

Katie J Kim, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858813.

Where does Katie J Kim, DDS practice?

The practice location is 935 Riverdale St, West Springfield, MA 01089-4656. The office can be reached at 313-434-5553 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023624541 directly on the NPPES registry website.

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