Individual Healthcare Provider
John Minkyu Kim, DDS
Provider's NPPES record last updated: August 2, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1699039792
- Primary Specialty
- Oral & Maxillofacial Surgery
- Practice Location
- Ann Arbor, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:46 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Oral & Maxillofacial Surgery
Allopathic & Osteopathic Physicians
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Taxonomy code 204E00000X Dentist
Dental Providers
A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Taxonomy code 122300000XDentist
Oral and Maxillofacial Surgery
Dental Providers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Taxonomy code 1223S0112XPharmacist
Pharmacy Service Providers
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Taxonomy code 183500000X
Provider-Reported License Information
- Oral & Maxillofacial Surgery (Michigan)
- 2901601571
- Dentist (Hawaii)
- DT 2474
- Dentist (Hawaii)
- DT-2474
- Pharmacist (Hawaii)
- PH 2612
Practice Locations
Practice Location
1500 E Medical Center Dr
Ann Arbor, Michigan 48109-5000
Phone: (734) 936-4000
Additional Practice Location
2441 21st St
Fort Campbell, Kentucky 42223-5582
Phone: (270) 798-8751
Additional Practice Location
618th Dental Co. Usag Humphreys, Carius Dental Clinic
Unit # 15660, Bldg # P3020
Apo, AP 96271-5660
Phone: (808) 295-8453
Record Information
- Enumeration Date
- July 3, 2012
- Provider's NPPES Record Last Updated
- August 2, 2023
- Certification Date
- August 2, 2023
- NPISignal NPPES Dataset
- August 2026
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