Organization Active NPI

Irolo Dental Services

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1003475898
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IROLO DENTAL SERVICES
Practice address
23021 Morton Ranch Rd
C
Katy, TX 77449
Phone
(832) 930-7775
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Edward Sungkyun Kim, DDSNPI 1861668170
Title
Owner
Phone
(213) 598-9513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

23021 Morton Ranch Rd
C
Katy, TX 77449

Mailing address

23021 Morton Ranch Rd
C
Katy, TX 77449

Other names 1

  • BRIGHTER DAY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

23021 Morton Ranch Rd
Ste C
Katy, TX 77449
Phone (832) 930-7775

Practitioners & affiliated clinicians

Practitioners 1

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": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003475898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23021 MORTON RANCH RD",
            "address_2": "C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23021 MORTON RANCH RD",
            "address_2": "C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "832-930-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROLO DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SUNGKYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-598-9513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTER DAY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHTER DAY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.