DR. SUSUN THERESA KIM DMD
NPI 1386165736
Dentist - Prosthodontics in Nellis Afb, NV

NPI Status: Active since July 06, 2017

Contact Information

4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-2273

Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.

Table of Contents

NPI Profile Information
Primary Taxonomy
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Prosthodontics

About SUSUN KIM

This page provides the complete NPI Profile along with additional information for Susun Kim, a provider established in Nellis Afb, Nevada with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1386165736 assigned on July 2017. The practitioner's primary taxonomy code is 1223P0700X with license number 22DI02757700 (NJ). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI: 1386165736
Provider Name: DR. SUSUN THERESA KIM DMD
Gender: Female
Entity Type: Individual
Location Address: 4700 LAS VEGAS BLVD N NELLIS AFB, NV 89191
Location Phone: (702) 653-2273
Mailing Address: 4700 LAS VEGAS BLVD N NELLIS AFB, NV 89191
Mailing Phone: (702) 653-2273
Is Sole Proprietor?: No
Enumeration Date: 07-06-2017
Last Update Date: 07-09-2025
Code Navigator

A dentist like Susun Kim is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Prosthodontics
Taxonomy Code: 1223P0700X
Type: Dental Providers
License No.: 22DI02757700
License State: NJ
Taxonomy Description: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	8	6	1	6	5	7	3	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	16	6	2	6	10	7	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 6 + 1 + 0 + 7 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1386165736 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. WILBERT CAIN M.D.

Family Medicine

4700 LAS VEGAS BLVD N
NELLIS AFB
LAS VEGAS, NV
ZIP 89191

About SUSUN KIM

Location Map

Specialty - Primary Taxonomy

Dentist Prosthodontics

Reviews for DR. SUSUN THERESA KIM DMD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Susun Kim's NPI number?

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