JINYOUNG KIM DMD NPI 1942721931

NPI Information

  • NPI: 1942721931
  • Provider Name: JINYOUNG KIM, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 706 S GAMMON RD
    MADISON, WI
    ZIP 53719
  • Phone: (888) 988-4066

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NPI Details

Jinyoung Kim, DMD is a general practice dentist in Madison, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jinyoung Kim, DMD NPI is 1942721931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 S GAMMON RD
MADISON, WI
ZIP 53719-302
Phone: (888) 988-4066
Fax: (847) 496-4850

The NPI 1942721931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/29/2017 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1001641WISCONSINNo
21223G0001XDentistGeneral Practice0401416885VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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