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Active NPI 1124720859 Individual Practitioner Female Practitioner

Sumin Kim

Dentist - General Practice • Cicero, IL

Professional Overview & Biography Verified Profile Summary

Sumin Kim is a registered healthcare professional specializing in Dentist - General Practice in Cicero, IL. Practice services are available at 2254 S CICERO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2254 S Cicero Ave

Cicero, IL 608042411

Telephone 7086562222
Associated Practice Facility / Clinic
🏢 Dental Experts, Llc Facility NPI 1891966883

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cicero, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Cicero, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.034426

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Harvi Patel , DDS

Dentist - General Practice

NPI 1063277531

Doctor of Dental Surgery

Paul Stec

Dentist

NPI 1073776571
Sai Ramani Krishna Kumar

Dentist - General Practice

NPI 1255707170
NPI 1366893554

Doctor of Dental Medicine

Ariel Idiare

Dentist - General Practice

NPI 1508476946
Dr. Akanksha Bali , DMD

Dentist - General Practice

NPI 1578013462

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 2254 S CICERO AVE, CICERO, IL 608042411 (Tel: 7086562222)

📍
Updated Business Mailing Address March 20, 2023

Registered at 247 E 28TH ST APT 17F, NEW YORK, NY 100167238 (Tel: 2174172922)

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as SUMIN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124720859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: July 12, 2023
Sole Proprietor: No

Mailing Address

247 E 28th St Apt 17f

New York, NY 100167238

Phone: 2174172922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.