Fordham Dental Care, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055881-1 Issued in NY

Legal business name

FORDHAM DENTAL CARE, P.C.

Practice address

573 E Fordham Rd
Store Front
Bronx, NY 10458-5018

Phone

(917) 962-9990

Fax

(917) 962-9992

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyeong Chan Kim, DDS

Title

President

Phone

(917) 962-9990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1205177292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 E FORDHAM RD",
            "address_2": "STORE FRONT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585018",
            "telephone_number": "917-962-9990",
            "fax_number": "917-962-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 E FORDHAM RD",
            "address_2": "STORE FRONT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585018",
            "telephone_number": "917-962-9990",
            "fax_number": "917-962-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYEONG",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-962-9990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055881-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Ford, RN
• Fordam University (Fordham Sports Medicine)
• Fordam University
• Velma Forde Osborne, SLP
• Fordham Community Pharmacy
• Fordham Drugs Inc (Abc Drugs)
• Fordham Eyes Inc
• Fordham Family Pharmacy & Surgical Inc.
• Fordham Foot Care Group, PC
• Fordham Health Corp

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.