Organization Active NPI

Caleb & Tyler Kim DDS LLC

  • Prosthodontics
  • Ho Ho Kus, NJ
National Provider Identifier
1124483250
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02596400 Issued in NJ
Legal business name
CALEB & TYLER KIM DDS LLC
Practice address
119 1St St
Suite #2
Ho Ho Kus, NJ 07423-1575
Phone
(201) 652-7711
Fax
(201) 652-7350
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Junhyck Kim, D.D.S.NPI 1275844730
Title
Principal
Phone
(201) 652-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 22DI02489100 NJ
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 22DI02596400 NJ Primary

Addresses

Primary practice location

119 1St St
Suite #2
Ho Ho Kus, NJ 07423-1575

Mailing address

119 1St St
Suite #2
Ho Ho Kus, NJ 07423-1575
Phone (201) 652-7711

Other names 1

  • AP&P Dental Doing business as

National Provider Directory

National Provider Directory

Locations

119 1st St
Ste 2
Ho Ho Kus, NJ 07423
Phone (201) 652-7711

Practitioners & affiliated clinicians

Practitioners 1

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1124483250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1ST ST",
            "address_2": "SUITE #2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231575",
            "telephone_number": "201-652-7711",
            "fax_number": "201-652-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST ST",
            "address_2": "SUITE #2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231575",
            "telephone_number": "201-652-7711",
            "fax_number": "201-652-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB & TYLER KIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNHYCK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "201-652-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02489100",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02596400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AP&P Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.