Organization Active NPI

I-10 Dental Care Service PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1144729369
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23210 Issued in TX
Legal business name
I-10 DENTAL CARE SERVICE PLLC
Practice address
13319 East Fwy
Houston, TX 77015-5801
Phone
(713) 451-3333
Fax
(713) 429-4005
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Dr. Sejoon Sean Kim, DDS,MD
Title
Dentist/Owner
Phone
(713) 451-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23210 TX Primary

Addresses

Primary practice location

13319 East Fwy
Houston, TX 77015-5801

Mailing address

13319 East Fwy
Houston, TX 77015-5801
Phone (713) 451-3333

Other names 1

  • Hi Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1144729369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13319 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155801",
            "telephone_number": "713-451-3333",
            "fax_number": "713-429-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13319 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155801",
            "telephone_number": "713-451-3333",
            "fax_number": "713-429-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-10 DENTAL CARE SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEJOON",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "713-451-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.