Doctor profile · Federal record
Dr. Jaewon Kim
Periodontist · Oklahoma City, OK
- NPI 1558032995
- 5 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1201 N Stonewall Ave # 524D
Oklahoma City, OK 731171214
(405) 271-7020
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Oklahoma #F-021
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558032995. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $19.16 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
23
Patients
19
Total drug cost
$74
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 23 | 19 | $74 |
Frequently asked questions
What is Dr. Jaewon Kim's medical specialty?
Dr. Jaewon Kim practices Periodontist in Oklahoma City, OK.
Where does Dr. Jaewon Kim practice?
Dr. Jaewon Kim practices at 1201 N Stonewall Ave # 524D, Oklahoma City, OK 731171214. Office phone: 4052717020.
What is Dr. Jaewon Kim's NPI?
Dr. Jaewon Kim's National Provider Identifier (NPI) is 1558032995, issued by NPPES.