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TAE KEUN KIM DDS
NPI 1417504614
Dentist - General Practice in Garwood, NJ

Active since August 22, 2019
450 SOUTH AVE APT 342, GARWOOD, NJ 07027(213) 604-5723 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Aug 22, 2019 (2 updates tracked since 2019).

About Tae Keun Kim Dds NPPES

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

TAE KEUN KIM DDS (NPI 1417504614) is an individual general practice provider in Garwood, New Jersey, licensed in New Jersey (22DI02888000) and active in the NPI registry since August 2019. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1417504614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTAE KEUN KIMCredential: DDS
Location Address450 SOUTH AVE APT 342Garwood, NJ 07027-1285
Mailing Address450 South Ave Apt 342Garwood, NJ 07027-1285
Phone(213) 604-5723
Sole ProprietorNo
Enumeration DateAugust 22, 2019
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1417504614 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 NJ · 22DI02888000
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
450 SOUTH AVE APT 342, Garwood, NJ 07027
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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (347) 577-4950

Accepted Insurance

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

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 Tae Kim's NPI number?

The NPI number for Tae Kim is 1417504614. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Tae Kim located?

Tae Kim practices at 450 South Ave Apt 342, Garwood, NJ 07027. The listed phone number is (213) 604-5723.

What is Tae Kim's specialty?

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

What insurance does Tae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Tae 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 Tae Kim was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.