Mary Kim, D.D.S.
NPI 1053729467 · General Practice Dentistry · Niles, IL
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Kim, D.D.S. is a General Practice Dentistry provider in Niles, IL (NPI 1053729467).
Provider details
- NPI number
- 1053729467
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 019029922 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Frequently asked questions
- What is Mary Kim's NPI number?
- Mary Kim's National Provider Identifier (NPI) is 1053729467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Kim's specialty?
- Mary Kim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mary Kim located?
- Mary Kim's practice location on file with NPPES is 8321 W Golf Rd, Niles, IL 60714-1113.
- What is Mary Kim's phone number?
- The practice phone number listed in the NPPES registry for Mary Kim is (847) 720-3504.
- Does Mary Kim accept Medicare?
- Mary Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Kim's NPI active?
- Yes — Mary Kim's NPI (1053729467) is active in the NPPES registry as of the last update on 2022-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.