Songhyon Kim, DDS
NPI 1912076738 · Dentist · Parker, AZ
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Songhyon Kim, DDS is a Dentist provider in Parker, AZ (NPI 1912076738).
Provider details
- NPI number
- 1912076738
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 30.025304 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
Mailing address
Additional practice locations (3)
- 4044 Morse RdColumbus, OH 43230-1448Phone: (614) 473-0400Fax: (913) 752-9116
- 992 Country Club Rd Ste 102Eugene, OR 97401-6023Phone: (855) 433-6825
- 2961 W Maple Loop Dr Ste 110Lehi, UT 84043-5717Phone: (801) 766-4042
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Songhyon Kim's NPI number?
- Songhyon Kim's National Provider Identifier (NPI) is 1912076738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Songhyon Kim's specialty?
- Songhyon Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Songhyon Kim located?
- Songhyon Kim's practice location on file with NPPES is 12033 Agency Rd, Parker, AZ 85344-7718.
- What is Songhyon Kim's phone number?
- The practice phone number listed in the NPPES registry for Songhyon Kim is (928) 669-2137.
- Does Songhyon Kim accept Medicare?
- Songhyon Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Songhyon Kim's NPI active?
- Yes — Songhyon Kim's NPI (1912076738) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.