Designed by D

Primary specialty

DentistTaxonomy code 122300000X

License

27612 Issued in TX

Legal business name

DESIGNED BY D

Practice address

8075 FM 423 BLDG 3
Suite 110
Frisco, TX 75034

Phone

(646) 306-5382

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Demian Jungmook Kim, D.D.SNPI 1306110606

Title

President

Phone

(646) 306-5382

Specialties & licenses 1

Addresses

Other names 1

• Forest Dental Cafe Other name

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.

• Demian J Kim, D.D.S

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1306110606
  Authorized official Same address or phone

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1083092662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SIGMA RD",
            "address_2": "9407",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752448115",
            "telephone_number": "646-306-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 FM 423 BLDG 3",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "646-306-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNED BY D",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DEMIAN",
        "authorized_official_middle_name": "JUNGMOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-306-5382",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Dental Cafe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krupa Desai
• Nirmit Dilip Desai, M.D., M.P.H.
• Vidhi Krupal Desai, PT DPT
• Megha Deshmukh
• Renu Deshpande
• Destiny's Leaders Inc (Destiny's Leaders Healthcare)
• Zachary Detrick, DPT
• Sonia F Devaneson, LPC
• Devereux Wellness Group, LLC
• Devoted Friends LLC (Always Best Care Northern Dallas)

• Dentist in Frisco, TX
• Providers in Frisco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.