Active NPIIndividual providerSole proprietor

Dr. Moonsun Kim, DDS

Dentist, Pediatric Dentistry in New Rochelle, New York

NPI Number1952503799
Practice location
77 Quaker Ridge RD Ste 210, New Rochelle, NY 10804-2821
Fax
—
Last updated
January 30, 2023

Moonsun Kim is a Dentist, Pediatric Dentistry based in New Rochelle, NY. Moonsun Kim practices in New Rochelle, NY and has the professional credentials of DDS. The NPI Number for Moonsun Kim is 1952503799 and holds a License No. 049857 (NY). The current practice location address for Moonsun Kim is 77 Quaker Ridge RD Ste 210, New Rochelle, NY 10804-2821 and can be reached out via phone at 914-632-2800.

Provider Profile Details

NPI Number
1952503799
Provider Name
Moonsun Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
77 Quaker Ridge RD Ste 210, New Rochelle, NY 10804-2821
Phone Number
914-632-2800
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2007
Last Update Date
January 30, 2023
Certification Date
January 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Quaker Ridge RD Ste 210
New Rochelle, NY 10804-2821
Zip
10804-2821
Phone Number
914-632-2800
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
2000 Broadway Apt 4C
New York, NY 10023-5040
City
New York
State
NY
Zip
10023-5040
Phone Number
917-327-3863

License Information

License Number (1)
049857
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (2)
0498371
License State (2)
NY
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X

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 Dr. Moonsun Kim, DDS?

The NPI number of Dr. Moonsun Kim, DDS is 1952503799. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Moonsun Kim, DDS?

Dr. Moonsun Kim, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 049857.

Where does Dr. Moonsun Kim, DDS practice?

The practice location is 77 Quaker Ridge RD Ste 210, New Rochelle, NY 10804-2821. The office can be reached at 914-632-2800 (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 1952503799 directly on the NPPES registry website.

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