JOHN MINKYU KIM DDS
NPI 1699039792
Oral & Maxillofacial Surgery in Ann Arbor, MI

NPI Status: Active since July 03, 2012

Contact Information

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000

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  • Individual
  • Male
  • Oral & Maxillofacial Surgery
  • Accepts Insurance
  • PECOS Enrolled

About JOHN KIM

This page provides the complete NPI Profile along with additional information for John Kim, a provider established in Ann Arbor, Michigan with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1699039792 assigned on July 2012. The practitioner's primary taxonomy code is 204E00000X with license number 2901601571 (MI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1699039792
Provider Name
JOHN MINKYU KIM DDS
Gender
Male
Entity Type
Individual
Location Address
1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
Location Phone
(734) 936-4000
Mailing Address
3621 S STATE ST ANN ARBOR, MI 48108
Mailing Phone
(734) 647-5299
Is Sole Proprietor?
No
Enumeration Date
07-03-2012
Last Update Date
08-02-2023
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Location Map

Secondary Locations

  • 2441 21st St
    Fort Campbell, KY 42223
    (270) 798-8751
  • 618TH DENTAL CO. USAG HUMPHREYS, CARIUS DENTAL CLINIC UNIT # 15660, BLDG # P3020
    APO, AP 96271
    (808) 295-8453

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
2901601571
License State
MI
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

DT 2474 (HI)
21223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

DT-2474 (HI)
3183500000XPharmacy Service Providers

Pharmacist

PH 2612 (HI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

John Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JOHN MINKYU KIM DDS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699039792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 0 + 3 + 1 + 8 + 7 + 1 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1699039792.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist (Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 7TH FLOOR MOTT RM F7830
ANN ARBOR, MI 48109
Nurse Practitioner (Family)
1500 E MEDICAL CENTER DR, B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Otolaryngology
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699039792, enumerated as an "individual" on July 03, 2012.

The provider is located at 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 and the phone number is (734) 936-4000.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.