Jisu Kim, DDS
NPI 1568936763ActiveIndividual· Dentist· Honolulu, HI
Dentist (DDS) in Honolulu, Hawaii, licensed in HI, WA, TX and PA and other states, with an NPI issued in January 2019. Part D covered 79 prescriptions written in 2024, 81% of them generic. Colgate Oral Pharmaceuticals, Inc. was the largest of 2 companies reporting payments in 2024, $45.02 in all, mostly food and beverage.
Overview
| NPI | 1568936763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2019 |
| Last updated in NPPES | Sep 22, 2024 |
| Certified by provider | Sep 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DT-2882 | HI |
| Dentist | 122300000X | DE60997067 | WA |
| Dentist | 122300000X | 35909 | TX |
| Dentist | 122300000X | DS040530 | PA |
| Dentist | 122300000X | 12444 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 79 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $437.38 |
| Generic share | 81% of claims |
Industry payments (Open Payments)
- 2024$45.02 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $27.58 | 2 |
| Dentsply Sirona Inc | $17.44 | 1 |
What the 2024 payments were for
- Food and Beverage$27.58 · 2 payments
- Gift$17.44 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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