Active NPI
Kimchang & Company, LLC
- Pediatric Dentistry
- Marietta, GA
National Provider Identifier
1003352857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN013629
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Woodstock, GA
- NPI 1679635304
-
- Dentist
- Marietta, GA
- NPI 1275610073
-
- General Practice Dentistry
- Hattiesburg, MS
- NPI 1689393944
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.