Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Kim, DDS

Individual provider Dentist · NPI 1356717987

Juan Kim, DDS is an Oral Surgery in Kansas City, Missouri. Qualified in 2021, 5 years ago. Practices with University Health Physicians, a 346-clinician group and accepts Medicare assignment. Licensed in Missouri and Oregon.

Years since qualifying
5
Licensed in
MO, OR
In the registry since
2015
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2101 Charlotte St Ste 310
Kansas City, MO 64108-2727
Phone: (816) 404-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2018011706 (MO)
Dentist Taxonomy 122300000X · Licence D10311 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2018011706 (MO)

Record details

NPI number1356717987
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Health Physicians — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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