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1093935710 NPI number — ALLAN S KIM D.M.D.

NPI Number: 1093935710
Health Care Provider/Practitioner: ALLAN S KIM D.M.D.

Information about “1093935710” NPI (ALLAN S KIM D.M.D.) exists in 1093935710 in HTML format HTML  |  1093935710 in plain Text format TXT  |  1093935710 in PDF (Portable Document Format) PDF  |  1093935710 in an XML format XML  formats.

NPI Number : 1093935710 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093935710",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "ALLAN",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIM",
    "OtherFirstName": "SIN",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11921 ROCKVILLE PIKE",
    "SecondLineMailingAddress": "STE 410",
    "MailingAddressCityName": "ROCKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20852",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-230-9222",
    "MailingAddressFaxNumber": "301-230-9337",
    "FirstLinePracticeLocationAddress": "11921 ROCKVILLE PIKE",
    "SecondLinePracticeLocationAddress": "STE 410",
    "PracticeLocationAddressCityName": "ROCKVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-230-9222",
    "PracticeLocationAddressFaxNumber": "301-230-9337",
    "EnumerationDate": "04/26/2007",
    "LastUpdateDate": "08/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "13349",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0700X",
          "TaxonomyName": "Prosthodontics",
          "LicenseNumber": "13349",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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