Organization Active NPI

Kimchang & Company, LLC

  • Pediatric Dentistry
  • Marietta, GA
National Provider Identifier
1003352857
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013629 Issued in GA
Legal business name
KIMCHANG & COMPANY, LLC
Practice address
2155 Post Oak Tritt Rd Ste 450
Marietta, GA 30062-8608
Phone
(770) 971-5536
Fax
(770) 971-3046
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Seungbum Kim
Title
Manager
Phone
(404) 900-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DN013629 GA Primary

Addresses

Primary practice location

2155 Post Oak Tritt Rd Ste 450
Marietta, GA 30062-8608

Mailing address

2155 Post Oak Tritt Rd Ste 450
Marietta, GA 30062-8608
Phone (770) 971-5536

Other names 1

  • Post Oak Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2155 Post Oak Tritt Rd
Ste 450
Marietta, GA 30062
Phone (770) 925-3300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003352857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628608",
            "telephone_number": "770-971-5536",
            "fax_number": "770-971-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628608",
            "telephone_number": "770-971-5536",
            "fax_number": "770-971-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMCHANG & COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEUNGBUM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-900-8830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Post Oak Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.