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Dr. Eliza Kim , DMD

Dentist - General Practice • Bolingbrook, IL

Active NPI 1568081925 Individual Practitioner Female Practitioner
Practice location in NPPES

210 N Bolingbrook Dr
Bolingbrook, IL 604402386

Call 6309724010 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

210 N Bolingbrook Dr

Bolingbrook, IL 604402386

Telephone 6309724010
Organization at the Same NPPES Address or Phone
Shining Smiles Llc Facility NPI 1972816650

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Brooklyn, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $137.70 across 4 records.

By nature of payment

  • Food and Beverage: $137.70 across 4 records.

Reporting-company totals

  • Envista Holdings Corporation: $74.31 across 1 record.
  • OraPharma, a division of Bausch Health US, LLC: $35.22 across 2 records.
  • Solventum Corporation: $28.17 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bolingbrook and Illinois

23 active clinicians are listed under Dentist - General Practice with a practice address in Bolingbrook, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bolingbrook

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $137.70.

Manufacturer Payment Nature Product Type Amount ($)
Envista Holdings Corporation
Food and Beverage
In-kind items and services
ZIRCONIA ABUTMENT PREPARATION KIT General $74.31
Solventum Corporation
Food and Beverage
Cash or cash equivalent
3M Clinpro General $28.17
OraPharma, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
ARESTIN General $19.22
OraPharma, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
ARESTIN General $16.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019033216

A 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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

1 Brookdale Plz

Brooklyn, NY 112123139

Phone: 7182406552

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Milad Nourahmadi , DDS

Dentist - General Practice

NPI 1023240918

Doctor of Dental Surgery

Dr. Nooshin Sanaei , DMD

Dentist - General Practice

NPI 1922738343

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location August 30, 2021

Registered at 210 N BOLINGBROOK DR, BOLINGBROOK, IL 604402386 (Tel: 6309724010)

📍
Updated Business Mailing Address August 30, 2021

Registered at 210 N BOLINGBROOK DR, BOLINGBROOK, IL 604402386

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Dentist (license number reported to NPPES: IL 019033216)

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NPI Profile Active April 15, 2020

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 15, 2020

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139 (Tel: 7182406552)

📍
Business Mailing Address (Initial Record) April 15, 2020

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139

👤
Provider Name / Credentials (Initial Record) April 15, 2020

Recorded as ELIZA KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1568081925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2020
Last Update: August 30, 2021
Sole Proprietor: Yes

Other Dentist - General Practices in Bolingbrook

All Dentist - General Practices in Bolingbrook

Mailing Address

210 N Bolingbrook Dr

Bolingbrook, IL 604402386

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.