Dr. David Kim's Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040283-1 Issued in NY

Legal business name

DR. DAVID KIM'S DENTAL OFFICE

Practice address

16114 Northern Blvd
2ND Floor
Flushing, NY 11358-1633

Phone

(718) 762-7006

Fax

(718) 445-4518

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Hannah Kim

Title

Office Manager

Phone

(718) 762-7006

Specialties & licenses 1

Addresses

Other names 1

• David Tae Kim, D.D.S. Other name

Locations

Practitioners 2

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

• David Tae Kim, D.D.S.

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1417007584
  NPD (past)
• Emily Walton

  • Dentist
  • San Antonio, TX
  • NPI 1336564699
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1033262274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16114 NORTHERN BLVD",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581633",
            "telephone_number": "718-762-7006",
            "fax_number": "718-445-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16114 NORTHERN BLVD",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581633",
            "telephone_number": "718-762-7006",
            "fax_number": "718-445-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID KIM'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-762-7006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040283-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Tae Kim, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dr Walter Maybruch
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• Dr. Bojun Chen's Medical Rehab, P.C.
• Dr. Da Wang Psychiatric Consultation, P.C.
• Dr. David Orenstein
• Dr. Josesph H. Ma
• Dr. Lees Medical Associates, LLP
• Dr. Ma's Medical Rehab., P.C.
• Dr. Steven Lee, D.D.S., P.C. (Smile Creations)

• General Practice Dentistry in Flushing, NY
• Providers in Flushing, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.