DR. AMY JOHNSON KIM D.D.S.
NPI 1760503650
Dentist - General Practice in Carol Stream, IL
About Dr. Amy Johnson Kim D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY JOHNSON KIM D.D.S. (NPI 1760503650) is an individual general practice provider in Carol Stream, Illinois, licensed in New York (50 051926) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amy Johnson Kim D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amy Kim's NPI number?
The NPI number for Amy Kim is 1760503650. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Amy Kim located?
Amy Kim practices at 784 W Army Trail Rd, Carol Stream, IL 60188. The listed phone number is (630) 289-8899.
What is Amy Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Amy Kim enrolled in Medicare?
Yes. Amy Kim is registered in the Medicare PECOS enrollment system.
What insurance does Amy Kim accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Amy 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 Amy Kim was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Amy Johnson Kim, D.D.S. · NPI 1760503650
General Practice provider in Carol Stream, Illinois. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1760503650 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 50 051926 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 784 W ARMY TRAIL RD, Carol Stream, IL 60188-9297
- **Phone:** (630) 289-8899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** October 8, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1760503650) · Data from the CMS NPPES public registry.