JK Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JK ENDODONTICS

Practice address

555 Second Ave Ste G-108
Collegeville, PA 19426-3600

Phone

(610) 831-1901

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By 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

Kang M Lee, DMD

Title

President

Phone

(610) 831-1901

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Ann Phillips

  • Endodontics
  • Collegeville, PA
  • NPI 1316088636
  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1245747583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE G-108",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-831-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE G-108",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-831-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1901",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson University Radiology Associates LLC (Jefferson Outpatient Imaging)
• Jeffrey Kehr
• Adelyn Rae Jenkins, CCC-SLP
• Jenna Aileeen Jenkins
• Melissa Jernigan, BCBA
• Megan L Johnson
• Kelsey Alaina Johnston
• Journey Well MD PLLC (Journey Well MD)
• Kyu James Jung, PHARMD
• Andrew L Kanter, D.M.D.

• Endodontics in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Endodontics in Pennsylvania

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