Active NPI
Jennifer Kim, OD
- Optometrist
- Dallas, TX
National Provider Identifier
1245726058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9460
- Practice address
- 8687 N Central Expy Ste 2200
Dallas, TX 75225-4570 - Phone
- (214) 368-0059
- NPI assigned
- Jul 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9460 | TX | Primary |
Addresses
Primary practice location
8687 N Central Expy Ste 2200
Dallas, TX 75225-4570
Mailing address
8687 N Central Expy Ste 2200
Dallas, TX 75225-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9460 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530662400000",
"number": "1245726058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8687 N CENTRAL EXPY STE 2200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8687 N CENTRAL EXPY STE 2200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254570",
"telephone_number": "214-368-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JENNIFER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-04",
"last_updated": "2018-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.