PYO JAE KIM
NPI 1659991107
Dentist - General Practice in Troy, MI

Q: What is Pyo Jae Kim's NPI number?

The NPI number for Pyo Jae Kim is 1659991107. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Pyo Jae Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pyo Jae Kim was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 24, 2020

805 SANDALWOOD DR, TROY, MI 48085(213) 400-2614 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Apr 24, 2020 (2 updates tracked since 2020).

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About Pyo Jae Kim NPPES

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

PYO JAE KIM (NPI 1659991107) is an individual general practice provider in Troy, Michigan, licensed in Michigan (2901600680) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1659991107

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePYO JAE KIM

Location Address805 SANDALWOOD DRTroy, MI 48085-1643

Mailing Address805 Sandalwood DrTroy, MI 48085-1643 · (213) 400-2614

Phone(213) 400-2614

Sole ProprietorYes

Enumeration DateApril 24, 2020

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1659991107 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 MI · 2901600680

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

805 SANDALWOOD DR, Troy, MI 48085

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 Pyo Jae Kim's NPI number?

The NPI number for Pyo Jae Kim is 1659991107. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Pyo Jae Kim located?

Pyo Jae Kim practices at 805 Sandalwood Dr, Troy, MI 48085. The listed phone number is (213) 400-2614.

What is Pyo Jae Kim's specialty?

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

What insurance does Pyo Jae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Pyo Jae 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 Pyo Jae Kim was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.