DR. JOO-WON KIM DDS
NPI 1265867014
Dentist - General Practice in Tucker, GA
About Dr. Joo-won Kim Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOO-WON KIM DDS (NPI 1265867014) is an individual general practice provider in Tucker, Georgia, licensed in Georgia (DN014661) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Joo-won Kim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
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 Joo-won Kim's NPI number?
The NPI number for Joo-won Kim is 1265867014. It was assigned to this individual provider in the NPPES registry on September 12, 2013.
Where is Joo-won Kim located?
Joo-won Kim practices at 4500 Hugh Howell Rd Suite 140, Tucker, GA 30084. The listed phone number is (770) 938-9090.
What is Joo-won Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Joo-won Kim enrolled in Medicare?
Yes. Joo-won Kim is registered in the Medicare PECOS enrollment system.
What insurance does Joo-won Kim accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Joo-won 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 Joo-won Kim was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Joo-Won Kim, DDS · NPI 1265867014
General Practice provider in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since September 12, 2013.
## Identity
- **NPI:** 1265867014 (Entity type: Individual)
- **Enumerated:** September 12, 2013
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN014661 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 HUGH HOWELL RD, SUITE 140, Tucker, GA 30084-4723
- **Phone:** (770) 938-9090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 4, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1265867014) · Data from the CMS NPPES public registry.