Hyeong C. Kim, DDS, PHD, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

055881-1 Issued in NY

Legal business name

HYEONG C. KIM, DDS, PHD, P.C.

Practice address

9101 63Rd Dr
Rego Park, NY 11374-3849

Phone

(718) 565-5445

Fax

(718) 565-0952

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hyeong Chan Kim, D.D.S., PH.D.

Title

Dentist

Phone

(718) 565-5445

Specialties & licenses 1

Addresses

Other names 1

• REGO PARK DENTAL CARE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Klempner, D.D.S.

  • General Practice Dentistry
  • New York, NY
  • NPI 1033393525
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1174958516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-565-5445",
            "fax_number": "718-565-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-565-5445",
            "fax_number": "718-565-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYEONG C. KIM, DDS, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYEONG",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-565-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055881-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGO PARK DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andi Huang, MA
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• Hy Quality Dental Care PC
• Phyllis Hyatt, LCSW
• I Move Physical Therapy P.C
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• Eleanara Iadgarova, DNP
• Margarita Ibarra

• Dentist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.