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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jung-Min Kim, DDS

Dentist in New York, NY · enumerated 2007 · practices at 57 Central Dental Professional Corporation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174679740

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Registry record

Entity type Individual (Type 1)
Name Dr. Jung-Min Kim
Credential DDS
Sex Male
Practice address New York, NY, 10019
Fax (212) 564-1161
Enumeration date Jan 26, 2007
Last updated in NPPES May 15, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

122300000X Dentist Dental Providers · License 22DI02280100 (NJ) Secondary
122300000X Dentist Dental Providers · License 051532 (NY) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
02594154 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jung-Min Kim?
Jung-Min Kim is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-15.