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SIWOO KIM
NPI 1558112151
Dentist in Gaithersburg, MD

Active since April 01, 2024
10201 WASHINGTONIAN BLVD APT 514, GAITHERSBURG, MD 20878(443) 996-0507 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Siwoo Kim NPPES

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

SIWOO KIM (NPI 1558112151) is an individual dentist in Gaithersburg, Maryland, licensed in Maryland (18849) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1558112151
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSIWOO KIM
Location Address10201 WASHINGTONIAN BLVD APT 514Gaithersburg, MD 20878-8310
Mailing Address5 Cabot Rd Unit 338Medford, MA 02155-5295 · (443) 996-0507
Phone(443) 996-0507
Sole ProprietorYes
Enumeration DateApril 1, 2024
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1558112151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 18849
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10201 WASHINGTONIAN BLVD APT 514, Gaithersburg, MD 20878
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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 Siwoo Kim's NPI number?

The NPI number for Siwoo Kim is 1558112151. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Siwoo Kim located?

Siwoo Kim practices at 10201 Washingtonian Blvd Apt 514, Gaithersburg, MD 20878. The listed phone number is (443) 996-0507.

What is Siwoo Kim's specialty?

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

What insurance does Siwoo Kim accept?

Health plans from Humana list Siwoo 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 Siwoo Kim was last updated on August 7, 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.