Jongsung Kim, D.D.S.
NPI 1134105430ActiveIndividual· Dentist, General Practice· Apo, AP
Dentist, General Practice (D.D.S.) in Apo, Armed Forces Pacific, licensed in AZ, with an NPI issued in December 2005. Enrolled in Medicare as order and referring only - dentist. Nusmile, Ltd. reported $100.00 in payments in 2024, mostly consulting fees.
Overview
| NPI | 1134105430 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Dec 19, 2005 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6569 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (GU) |
|---|
Industry payments (Open Payments)
- 2024$100.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Nusmile, Ltd. | $100.00 | 1 |
What the 2024 payments were for
- Consulting Fee$100.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Apo
- 1891584454
- 1487030086
- 1780848846
- 1992789242
- 1548539125
- 1285618801
- 1578764718
- 1083463335
- 1780668681
- 1861955726
- 1336747385
- 1467423103
All Dentist, General Practice providers in Armed Forces Pacific →