What is Mary Kim's NPI number?

Mary Kim's National Provider Identifier (NPI) is 1184165516, 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 2424 W Peterson Ave, Chicago, IL 60659-4100.

What is Mary Kim's phone number?

The practice phone number listed in the NPPES registry for Mary Kim is (773) 761-0300.

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 (1184165516) is active in the NPPES registry as of the last update on 2022-03-01.

IndividualActiveAccepts Medicare

Mary Kim, D.M.D.

NPI 1184165516 · General Practice Dentistry · Chicago, IL

Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Mary Kim, D.M.D. is a General Practice Dentistry provider in Chicago, IL (NPI 1184165516).

Provider details

NPI number: 1184165516
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.
Sex: Female
Sole proprietor: No
License: 019031189 (IL)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DN122544 (GA)
Dental Providers
Dentist122300000XLicense 019031189 (IL)
Dental Providers
Dentist122300000XLicense 34965 (TX)
Dental Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
5 documented practice locations

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

2424 W Peterson Ave

Chicago, IL 60659-4100

Phone: (773) 761-0300

Fax: (773) 761-0300

Street-level locationGet directions

More IL providers

Mailing address

500 Prestwick Ln

Wheeling, IL 60090-6231

Additional practice locations (4)

251 E Huron St
Chicago, IL 60611-2908
Phone: (312) 926-2000
2501 W Peterson Ave
Chicago, IL 60659
Phone: (773) 761-0300
Fax: (773) 761-0009
8321 W Golf Rd
Niles, IL 60714-1113
Phone: (773) 761-0300
Fax: (773) 761-0009
8800 Lockwood Ave
Skokie, IL 60077-1500
Phone: (773) 761-0300
Fax: (773) 761-0009

Enumerated: 2017-03-18
Last updated: 2022-03-01
Certified: 2022-03-01

Frequently asked questions

What is Mary Kim's NPI number?: Mary Kim's National Provider Identifier (NPI) is 1184165516, 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 2424 W Peterson Ave, Chicago, IL 60659-4100.
What is Mary Kim's phone number?: The practice phone number listed in the NPPES registry for Mary Kim is (773) 761-0300.
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 (1184165516) is active in the NPPES registry as of the last update on 2022-03-01.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.