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DR. MOOCHAN KIM DDS
NPI 1992359954
Dentist - Endodontics in Wake Forest, NC

Active since July 29, 2019
610 DR CALVIN JONES HWY STE 100, WAKE FOREST, NC 27587(919) 336-5230 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 3, 2024, Aug 8, 2023, May 1, 2023 and 4 more (7 updates tracked since 2019).

About Dr. Moochan Kim Dds NPPES

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

DR. MOOCHAN KIM DDS (NPI 1992359954) is an individual endodontics provider in Wake Forest, North Carolina, licensed in North Carolina (13969) and active in the NPI registry since July 2019. He maintains a secondary practice location in Cary.

NPPES Registry Identity

NPI1992359954
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MOOCHAN KIMCredential: DDS
Location Address610 DR CALVIN JONES HWY STE 100Wake Forest, NC 27587-3104
Mailing Address4701 Violet Fields Way Unit 218Raleigh, NC 27612-5660 · (917) 421-0997
Phone(919) 336-5230
Sole ProprietorNo
Enumeration DateJuly 29, 2019
Last NPPES UpdateSeptember 3, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1992359954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NC · 13969
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 22DI02925300 (NJ), 019.032304 (IL), 062241 (NY)
610 DR CALVIN JONES HWY STE 100, Wake Forest, NC 27587
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Secondary Practice Location 1

Location 1875 Walnut St Ste 200Cary, NC 27511-4215 · Phone (919) 467-8227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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.

K. KEVIN NESHAT, DDS, MD, PA
Dentist (Endodontics)
610 DR CALVIN JONES HWY STE 100
WAKE FOREST, NC 27587
Wake County (919) 336-5230

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 Moochan Kim's NPI number?

The NPI number for Moochan Kim is 1992359954. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Moochan Kim located?

Moochan Kim practices at 610 Dr Calvin Jones Hwy Ste 100, Wake Forest, NC 27587. The listed phone number is (919) 336-5230.

What is Moochan Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Moochan Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Moochan 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 Moochan Kim was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.