Amy Johnson Kim, D.D.S.
NPI 1760503650ActiveIndividual· Dentist, General Practice· Carol Stream, IL
Dentist, General Practice (D.D.S.) in Carol Stream, Illinois, licensed in NY and IL, with an NPI issued in April 2007. Part D covered 12 prescriptions written in 2024.
Overview
| NPI | 1760503650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Apr 2, 2007 |
| Last updated in NPPES | Oct 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 50 051926 | NY |
| Dentist | 122300000X | 019.028932 | IL |
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) | Enrolled Order and Referring Only - Dentist (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $126.29 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 general dentists in Carol Stream · All general dentists in Illinois