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JOHN D KIM DMD
NPI 1720531403
Dentist in Tyler, TX

Active since July 28, 2016

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About John D Kim Dmd NPPES

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

JOHN D KIM DMD (NPI 1720531403) is an individual dentist in Tyler, Texas, licensed in Texas (38650) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1720531403
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN D KIMCredential: DMD
Location Address110 E 9TH STTyler, TX 75701-4227
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041
Phone(903) 991-4991
Sole ProprietorNo
Enumeration DateJuly 28, 2016
Last NPPES UpdateApril 8, 2023
NPPES CertifiedApril 8, 2023
✔ NPI 1720531403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in TX · 38650✔ Licensed in IL · 319.020174
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.
110 E 9TH ST, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 John Kim's NPI number?

The NPI number for John Kim is 1720531403. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is John Kim located?

John Kim practices at 110 E 9th St, Tyler, TX 75701. The listed phone number is (903) 991-4991.

What is John Kim's specialty?

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

What insurance does John Kim accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 16 other insurers list John 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 John Kim was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.