Active NPI
Dr. Sean Kim DDS MD PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Houston, TX
National Provider Identifier
1265879019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 23210
- Legal business name
- DR. SEAN KIM DDS MD PLLC
- Practice address
- 1800 W 26TH St Ste 205
Houston, TX 77008-1450 - Phone
- (832) 831-8655
- Fax
- (832) 581-2253
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Kim, DDS,MD
- Title
- Sole Member
- Phone
- (832) 831-8655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 23210 | TX | Primary |
Addresses
Primary practice location
1800 W 26TH St Ste 205
Houston, TX 77008-1450
Mailing address
1800 W 26TH St Ste 205
Houston, TX 77008-1450
Phone (832) 831-8655
National Provider Directory
National Provider DirectoryLocations
1800 W 26th St
Ste 205
Houston, TX 77008
Phone (832) 831-8655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1265879019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W 26TH ST STE 205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081450",
"telephone_number": "832-831-8655",
"fax_number": "832-581-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 26TH ST STE 205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081450",
"telephone_number": "832-831-8655",
"fax_number": "832-581-2253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SEAN KIM DDS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "832-831-8655",
"authorized_official_credential": "DDS,MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "23210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.