JUNAM KIM
NPI 1669011037
Dental Assistant in Fort Carson, CO

Q: What is Junam Kim's NPI number?

The NPI number for Junam Kim is 1669011037. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Junam Kim's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Junam Kim was last updated on June 9, 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.

Active since January 02, 2020

1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913(719) 526-5537 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Jan 2, 2020 (2 updates tracked since 2020).

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About Junam Kim NPPES

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

JUNAM KIM (NPI 1669011037) is an individual dental assistant in Fort Carson, Colorado and active in the NPI registry since January 2020. He maintains a secondary practice location in Fort Carson.

NPPES Registry Identity

NPI1669011037

Entity TypeIndividualMale

Primary Taxonomy126800000X

Provider Legal NameJUNAM KIM

Location Address1667 COCHRANE CIR BLDG 7495Fort Carson, CO 80913-4603

Mailing Address1667 Cochrane Cir Bldg 7495Fort Carson, CO 80913-4603

Phone(719) 526-5537

Sole ProprietorYes

Enumeration DateJanuary 2, 2020

Last NPPES UpdateJune 9, 20222 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1669011037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

1667 COCHRANE CIR BLDG 7495, Fort Carson, CO 80913

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Secondary Practice Location 1

Location 11631 Wetzel AveFort Carson, CO 80913-4095 · Phone (719) 526-5537

Other Providers at the Same Location NPPES 20

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

CARRI LYNN DECAMP

Dental Hygienist