ANDY KIM DDS
NPI 1245923275
Dentist in Woodside, NY

Active since May 26, 2023
3905 61ST ST FL 2, WOODSIDE, NY 11377(718) 388-5566 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Jun 15, 2023, May 26, 2023 (3 updates tracked since 2023).

About Andy Kim Dds NPPES

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

ANDY KIM DDS (NPI 1245923275) is an individual dentist in Woodside, New York, licensed in New York (064518) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1245923275
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameANDY KIMCredential: DDS
Location Address3905 61ST ST FL 2Woodside, NY 11377-3566
Mailing Address207 E 30th St Apt 1eNew York, NY 10016-8277 · (201) 705-8454
Sole ProprietorYes
Enumeration DateMay 26, 2023
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1245923275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 064518
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3905 61ST ST FL 2, Woodside, NY 11377

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)
3905 61ST ST FL 2
WOODSIDE, NY 11377
Dentist (Pediatric Dentistry)
3905 61ST ST FL 2
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 Andy Kim's NPI number?

The NPI number for Andy Kim is 1245923275. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Andy Kim located?

Andy Kim practices at 3905 61st St Fl 2, Woodside, NY 11377. The listed phone number is (718) 388-5566.

What is Andy Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Andy Kim was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.