1. Home
  2. Directory
  3. Wisconsin
  4. West Milwaukee
  5. Dentist
  6. NPI Profile

JASON MINJE KIM DDS
NPI 1407547151
Dentist - General Practice in West Milwaukee, WI

Active since May 15, 2023
2100 MILLER PARK WAY, WEST MILWAUKEE, WI 53219(317) 965-9259 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, May 15, 2023 (2 updates tracked since 2023).

About Jason Minje Kim Dds NPPES

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

JASON MINJE KIM DDS (NPI 1407547151) is an individual general practice provider in West Milwaukee, Wisconsin, licensed in Wisconsin (6001179-15) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1407547151
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJASON MINJE KIMCredential: DDS
Location Address2100 MILLER PARK WAYWest Milwaukee, WI 53219-1641
Mailing Address161 W Wisconsin Ave Apt 214Milwaukee, WI 53203-2605 · (317) 965-9259
Phone(317) 965-9259
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1407547151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6001179-15
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2100 MILLER PARK WAY, West Milwaukee, WI 53219
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 14

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

DR. AMI INOUE D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540
JOSHUA HASSAN D.M.D
Dentist (Periodontics)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (908) 812-2220
AJIT V PILLAI DMD
Dentist (Oral and Maxillofacial Surgery)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540
DR. PATRICK R KAUL DDS
Dentist (General Practice)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540
LAURA ELIZABETH GOODELL D.M.D.
Dentist (Pediatric Dentistry)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (262) 436-3363
DR. NICHOLAS RICHARD YUNKER
Dentist (General Practice)
2100 MILLER PARK WAY
MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540
DR. WENDY ZHU DDS
Dentist (General Practice)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540
DR. MICHAEL EDWARD DRUCK DDS
Dentist (General Practice)
2100 MILLER PARK WAY
WEST MILWAUKEE, WI 53219
Milwaukee County (414) 645-4540

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1407547151. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Jason Kim located?

Jason Kim practices at 2100 Miller Park Way, West Milwaukee, WI 53219. The listed phone number is (317) 965-9259.

What is Jason Kim's specialty?

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

What insurance does Jason Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jason 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 Jason Kim was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.