Organization Active NPI

Henry Kim DMD PA

  • Dentist
  • North Palm Beach, FL
National Provider Identifier
1053545699
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18525 Issued in FL
Legal business name
HENRY KIM DMD PA
Doing business as
Diamond Smiles Dental Group
Practice address
712 US Highway 1
Suite 220
North Palm Beach, FL 33408-4525
Phone
(561) 881-0067
Fax
(561) 881-5707
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Hyunyil Henry Kim, D.M.D.
Title
President
Phone
(561) 252-3981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN18525 FL Primary

Addresses

Primary practice location

712 US Highway 1
Suite 220
North Palm Beach, FL 33408-4525

Mailing address

712 US Highway 1
Suite 220
North Palm Beach, FL 33408-4525
Phone (561) 881-0067

Other names 1

  • Diamond Smiles Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

712 US Highway 1
Ste 220
North Palm Beach, FL 33408
Phone (561) 881-0067

Practitioners & affiliated clinicians

Practitioners 3

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1053545699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 US HIGHWAY 1",
            "address_2": "SUITE 220",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084525",
            "telephone_number": "561-881-0067",
            "fax_number": "561-881-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 US HIGHWAY 1",
            "address_2": "SUITE 220",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084525",
            "telephone_number": "561-881-0067",
            "fax_number": "561-881-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY KIM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNYIL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-252-3981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.