Elissa Kim, DDS
NPI 1124721261 · Student in an Organized Health Care Education/Training Program · Chicago, IL
Enrolled with Medicare as Order and Referring Only - Pediatric Dentistry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elissa Kim, DDS is a Student in an Organized Health Care Education/Training Program provider in Chicago, IL (NPI 1124721261).
Provider details
- NPI number
- 1124721261
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
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
83% 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
- 2023-03-27
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Elissa Kim's NPI number?
- Elissa Kim's National Provider Identifier (NPI) is 1124721261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elissa Kim's specialty?
- Elissa Kim is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Elissa Kim located?
- Elissa Kim's practice location on file with NPPES is 820 South Wood Street, Chicago, IL 60612.
- What is Elissa Kim's phone number?
- The practice phone number listed in the NPPES registry for Elissa Kim is (312) 996-2933.
- Does Elissa Kim accept Medicare?
- Elissa Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elissa Kim's NPI active?
- Yes — Elissa Kim's NPI (1124721261) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.