Kyeongseon Kim, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22301 Issued in TX

Legal business name

KYEONGSEON KIM, DDS, PLLC

Doing business as

Studio Dental

Practice address

1717 W University Dr.
Ste 410
McKinney, TX 75069-3220

Phone

(972) 547-0066

Fax

(972) 547-0069

NPI assigned

Oct 30, 2008

Last updated

Nov 18, 2008By 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

Kyeongseon Kim, D.D.SNPI 1073601480

Title

Dentist

Phone

(972) 547-0066

Specialties & licenses 1

Addresses

Other names 1

• Studio Dental Doing business as

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.

• Kyeongseon Kim, DDS

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1073601480
  NPD (past) Authorized official

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1255584546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W UNIVERSITY DR",
            "address_2": "STE 410",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693220",
            "telephone_number": "972-547-0066",
            "fax_number": "972-547-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W UNIVERSITY DR.",
            "address_2": "STE 410",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693220",
            "telephone_number": "972-547-0066",
            "fax_number": "972-547-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYEONGSEON KIM, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYEONGSEON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-547-0066",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles M Kuria
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• Sonal Kushwaha
• Kwest Physical Therapy
• Kyle M. Smith, D.D.S., P.a. (Smith Family Dentistry)
• Angela Kyles-Robinson
• L T M Transportation Services Corporation
• Kathryn Elise Labat, DDS
• Sheri D Labelle, PT

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.