HEESUNG S. KIM DDS – NPI #1295214567
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

HEESUNG KIM is a military health care provider located in BETHESDA, MD. NPPES has assigned the NPI number 1295214567 to HEESUNG KIM on August 08, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was previously updated about 3 years ago on Aug 20, 2023. See the complete NPI profile for HEESUNG KIM below.

NPI Profile for
HEESUNG S. KIM

NPI Number
1295214567
Enumeration Date

(about 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HEESUNG S. KIM
Credentials
DDS
Primary location
4494 PALMER RD N
BETHESDA, MD 20814
Phone: (646) 693-6747 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Aug 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
TX 37148
122300000X
- Dentist
TX 37148

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.