Jonathan Kim, D.D.S

NPI: 1104036797

Jonathan Kim, D.D.S

Q: What is Jonathan Kim's NPI number?

Jonathan Kim's NPI number is 1104036797, a unique 10-digit identifier issued by CMS.

Q: What does Jonathan Kim specialize in?

Jonathan Kim specializes in Dentistry, taxonomy code 122300000X.

Q: Where does Jonathan Kim practice?

Jonathan Kim practices in Fishkill, NY 12524-1348.

Q: When was Jonathan Kim's NPI issued?

Jonathan Kim's NPI was issued on May 23, 2007.

Q: What is Jonathan Kim's provider type?

Jonathan Kim is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: May 23, 2007

Quick Facts

NPI Number

1104036797

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy122300000X — Dentistry

Phone

(845) 896-9192

StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104036797)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (May 23, 2007)

Data source: CMS NPPES

Provider Overview

JONATHAN KIM, D.D.S is a Dentistry provider based in Fishkill, NY who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104036797

Provider TypeIndividual Provider

GenderMale

CredentialD.D.S

StatusActive

Enumeration DateMay 23, 2007

Practice Location

CityFishkill

StateNY

ZIP Code12524-1348

Phone(845) 896-9192

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code122300000X

License StateNY

Mailing Address

CityFishkill

StateNY

ZIP Code12524-1348

Phone(845) 896-9192

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104036797 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104036797for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104036797 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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