Organization Active NPI

Daniel D. Kim, D.D.S., LLC

  • Emergency Care Clinic/Center
  • Ridgefield, NJ
National Provider Identifier
1114347192
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
22DI02255900 Issued in NJ
Legal business name
DANIEL D. KIM, D.D.S., LLC
Practice address
321 Broad Ave
#5
Ridgefield, NJ 07657-2346
Phone
(201) 313-2277
Fax
(201) 496-6124
NPI assigned
Apr 17, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Dongkyun KimNPI 1932321759
Title
Clinical Director
Phone
(201) 313-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 22DI02255900 NJ Primary

Addresses

Primary practice location

321 Broad Ave
#5
Ridgefield, NJ 07657-2346

Mailing address

321 Broad Ave
#5
Ridgefield, NJ 07657-2346
Phone (201) 313-2277

National Provider Directory

National Provider Directory

Locations

321 Broad Ave
Ste 5
Ridgefield, NJ 07657
Phone (201) 313-2277

321 Broad Ave
Ste F5
Ridgefield, NJ 07657
Phone (201) 313-2277

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1114347192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BROAD AVE",
            "address_2": "#5",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572346",
            "telephone_number": "201-313-2277",
            "fax_number": "201-496-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BROAD AVE",
            "address_2": "#5",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572346",
            "telephone_number": "201-313-2277",
            "fax_number": "201-496-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. KIM, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGKYUN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-313-2277",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NJ",
            "license": "22DI02255900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.