NPI age
8 years
Enumerated 2017-11-14
● Active
Type 1 · Individual
DR. Jayun Joanna Kim, DMD
Kim is 1 of 37 dentist providers in Lewisville and 1 of 9237 in Texas.
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
8 years
↓ 4 yr below median (12 yr)
State licenses
2 states
Top 93% — 7% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Practice location
4920 Tx-121 #200
Lewisville, TX 75056
Mailing address
663 Trail Side Dr
Lewisville, TX 750677884
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
254 Market Place Dr
Louisville, KY 402295450
Location 3
1211 W Broadway
Louisville, KY 402032082
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
DentistA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100499030 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.