Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TAEYOUNG KIM DDS
NPI 1073043402
Dentist - General Practice in Lake Katrine, NY

Active since June 18, 2017
1733 ULSTER AVE, LAKE KATRINE, NY 12449(845) 764-9263 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Dec 19, 2024, Oct 9, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Taeyoung Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAEYOUNG KIM DDS (NPI 1073043402) is an individual general practice provider in Lake Katrine, New York, licensed in New York (059824-1) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1073043402
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TAEYOUNG KIMCredential: DDS
Location Address1733 ULSTER AVELake Katrine, NY 12449-5426
Mailing Address1733 Ulster AveLake Katrine, NY 12449-5426 · (917) 227-5911
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1073043402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 059824-1
Definition
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.
1733 ULSTER AVE, Lake Katrine, NY 12449

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1733 ULSTER AVE
LAKE KATRINE, NY 12449
Dentist (General Practice)
1733 ULSTER AVE
LAKE KATRINE, NY 12449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taeyoung Kim's NPI number?

The NPI number for Taeyoung Kim is 1073043402. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Taeyoung Kim located?

Taeyoung Kim practices at 1733 Ulster Ave, Lake Katrine, NY 12449. The listed phone number is (845) 764-9263.

What is Taeyoung Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Taeyoung Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Taeyoung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taeyoung Kim was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.