Michelle Kim
NPI 1114628724 · Pediatric Dentistry · New York, NY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Kim is a Pediatric Dentistry provider in New York, NY (NPI 1114628724).
Provider details
- NPI number
- 1114628724
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13364 (NC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-03-13
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Frequently asked questions
- What is Michelle Kim's NPI number?
- Michelle Kim's National Provider Identifier (NPI) is 1114628724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Kim's specialty?
- Michelle Kim is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Michelle Kim located?
- Michelle Kim's practice location on file with NPPES is 622 W 168th St, New York, NY 10032-3720.
- What is Michelle Kim's phone number?
- The practice phone number listed in the NPPES registry for Michelle Kim is (212) 305-6100.
- Does Michelle Kim accept Medicare?
- Michelle Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Kim's NPI active?
- Yes — Michelle Kim's NPI (1114628724) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.