Hanover Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HANOVER PEDIATRIC DENTISTRY

Practice address

250 Fame Ave Ste 206a
Hanover, PA 17331-1576

Phone

(410) 756-0859

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jaepil Kim, DDSNPI 1215241989

Title

Pediatric Dentist

Phone

(410) 756-0859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jaepil Kim, D.D.S

  • Pediatric Dentistry
  • Binghamton, NY
  • NPI 1215241989
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1053174938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRANDON WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509124",
            "telephone_number": "917-273-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 206A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "410-756-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAEPIL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "410-756-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanover Optometric Associates, Inc.
• Hanover Orthopaedic Associates
• Hanover Orthopaedic Associates,Inc
• Hanover Pathology Associates
• Hanover Pediatric Associates, P.C.
• Hanover Public School District
• Hanover Surgical Associates
• Hanover Surgicenter, L.L.C.
• Hanover Urology Associates Inc
• Hanover Women'S Health Care PC

• Pediatric Dentistry in Hanover, PA
• Providers in Hanover, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.