Andrew Kim Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREW KIM DENTAL, PLLC

Doing business as

Dentalopolis

Practice address

3779 Riley Fuzzel Rd Ste 400
Spring, TX 77386-4625

Phone

(832) 510-3282

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Kim, DDSNPI 1083911846

Title

President

Phone

(832) 510-3282

Specialties & licenses 1

Addresses

Other names 1

• Dentalopolis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Kim

  • Periodontics
  • Katy, TX
  • NPI 1083911846
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1033983838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3779 RILEY FUZZEL RD STE 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 RILEY FUZZEL RD STE 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864625",
            "telephone_number": "832-510-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW KIM DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-510-3282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentalopolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Brooks Anderson, MD
• Joleisa Anderson
• Mary A Anderson, OTR
• Saryn Anderson
• Stephanie Anderson
• Andrew R. Garcia, DC, PLLC
• Sherae M Andrews
• Elizabeth Couch Andrus, FNP
• Anesthesia Providers of Texas PLLC
• Angel Hospice of America Inc (Angel Hospice of America)

• Dental Clinic/Center in Spring, TX
• Providers in Spring, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.