Organization Active NPI

SHK Smile Dental Corportation

Doing business as 1st Smile Dental Care of Irving

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1245595701
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27677 Issued in TX
Legal business name
SHK SMILE DENTAL CORPORTATION
Doing business as
1st Smile Dental Care of Irving
Practice address
3626 N Macarthur Blvd
Suite 235
Irving, TX 75062-3643
Phone
(214) 736-3777
Fax
(214) 736-3778
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Sandy H Kim, DDS
Title
Owner
Phone
(214) 736-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27677 TX Primary

Addresses

Primary practice location

3626 N Macarthur Blvd
Suite 235
Irving, TX 75062-3643

Mailing address

3626 N Macarthur Blvd
Suite 235
Irving, TX 75062-3643
Phone (214) 736-3777

Other names 1

  • 1st Smile Dental Care of Irving 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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1245595701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N MACARTHUR BLVD",
            "address_2": "SUITE 235",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623643",
            "telephone_number": "214-736-3777",
            "fax_number": "214-736-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N MACARTHUR BLVD",
            "address_2": "SUITE 235",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623643",
            "telephone_number": "214-736-3777",
            "fax_number": "214-736-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHK SMILE DENTAL CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-736-3777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Smile Dental Care of Irving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.