DR. JAE HO KIM DDS
NPI 1912216854
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Q: What is Jae Kim's NPI number?

The NPI number for Jae Kim is 1912216854. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Q: What is Jae Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 27, 2010

5906 BARDSTOWN RD, LOUISVILLE, KY 40291(857) 919-4334 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jae Ho Kim Dds NPPES

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

DR. JAE HO KIM DDS (NPI 1912216854) is an individual oral and maxillofacial surgery provider in Louisville, Kentucky, licensed in Kentucky (9554) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1912216854

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JAE HO KIMCredential: DDS

Location Address5906 BARDSTOWN RDLouisville, KY 40291-1935

Mailing Address289 Ireland Ave, Oral Surgery, Hospital Dental ClinicFort Knox, KY 40121-5111 · (857) 919-4334

Phone(857) 919-4334

Sole ProprietorNo

Enumeration DateSeptember 27, 2010

Last NPPES UpdateNovember 19, 2015

✔ NPI 1912216854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in KY · 9554

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5906 BARDSTOWN RD, Louisville, KY 40291

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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 Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

JOSEPH H. CIESLAK, DDS, PLLC

Specialist

5906 BARDSTOWN RD
LOUISVILLE, KY 40291

Jefferson County (502) 231-2230

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1912216854. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Where is Jae Kim located?

Jae Kim practices at 5906 Bardstown Rd, Louisville, KY 40291. The listed phone number is (857) 919-4334.

What is Jae Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list 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 Jae Kim was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.