Kwon-Kim DDS PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

28842 Issued in TX

Legal business name

KWON-KIM DDS PLLC

Doing business as

Centerpoint Advanced Restorative and Esthetic Dentistry

Practice address

4112 East Renner Rd.
Richardson, TX 75082

Phone

(972) 480-0800

Fax

(972) 480-0900

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Jinsoo Kim, DDS

Title

President

Phone

(972) 480-0800

Specialties & licenses 1

Addresses

Other names 1

• Centerpoint Advanced Restorative and Esthetic Dentistry Doing business as

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1083096713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 EAST RENNER RD.",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-480-0800",
            "fax_number": "972-480-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 EAST RENNER RD.",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-480-0800",
            "fax_number": "972-480-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON-KIM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-480-0800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "28842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint Advanced Restorative and Esthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana Kunzman, PT, DPT
• Bismi Kurien
• Katryna Kustwan
• Adrian Kuykendall, OTR
• Louise A Kwan, MD
• Hyojin Kwon, M.D.
• Cecilia Kwong-Murphy, FNP - C
• L & L Central Healthcare PC (Central Health and Wellness)
• L & W Orthopaedic Associates
• La Luna Medical PLLC

• Prosthodontics in Richardson, TX
• Providers in Richardson, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.