DR. TRACY KIM DMD
NPI 1174938559
Dentist - Pediatric Dentistry in Woodside, NY

Active since June 24, 2014
3905 61ST ST, WOODSIDE, NY 11377(917) 963-7230 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 28, 2017 (2 updates tracked since 2017).

About Dr. Tracy Kim Dmd NPPES

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

DR. TRACY KIM DMD (NPI 1174938559) is an individual pediatric dentistry provider in Woodside, New York, licensed in New York (059005) and active in the NPI registry since June 2014. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1174938559
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TRACY KIMCredential: DMD
Location Address3905 61ST STWoodside, NY 11377-3566
Mailing Address3905 61st StWoodside, NY 11377-3566
Sole ProprietorNo
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1174938559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 059005
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3905 61ST ST, Woodside, NY 11377

Secondary Practice Location 1

Location 11400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (718) 918-5000

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Dentist (Pediatric Dentistry)
3905 61ST ST, 2ND FLOOR
WOODSIDE, NY 11377
Dentist (Pediatric Dentistry)
3905 61ST ST
WOODSIDE, NY 11377
Dentist (Pediatric Dentistry)
3905 61ST ST
WOODSIDE, NY 11377
Dentist (Pediatric Dentistry)
3905 61ST ST
FLUSHING, NY 11377
Technician/Technologist (Optician)
3905 61ST ST, 2ND FLOOR
WOODSIDE, NY 11377
Dentist
3905 61ST ST, KIDS DENTAL VILLAGE PC
WOODSIDE, NY 11377
Dentist
3905 61ST ST
WOODSIDE, NY 11377

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 Tracy Kim's NPI number?

The NPI number for Tracy Kim is 1174938559. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Tracy Kim located?

Tracy Kim practices at 3905 61st St, Woodside, NY 11377. The listed phone number is (917) 963-7230.

What is Tracy Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Tracy Kim accept?

Health plans from Humana list Tracy 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 Tracy Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.