Organization Active NPI

Dr. Sean Kim DDS MD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1265879019
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
23210 Issued in TX
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

Updated by the provider on Jun 3, 2013

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.