K Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

K FAMILY DENTISTRY

Practice address

428 Grand Avenue Parkway
Suite150
Pflugerville, TX 78660

Phone

(216) 225-5969

NPI assigned

Jul 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice KimNPI 1235534157

Title

DMD/ Dentist

Phone

(512) 649-2828

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.

• Janice S Kim, DMD

  • Dentist
  • El Paso, TX
  • NPI 1235534157
  NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1275186264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 GRAND AVENUE PARKWAY",
            "address_2": "SUITE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-649-2828",
            "fax_number": "512-649-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GRAND AVENUE PARKWAY",
            "address_2": "SUITE150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "216-225-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DMD/ DENTIST",
        "authorized_official_telephone_number": "512-649-2828"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Jung
• Brandi Michele Jurecek, LCSW
• Julia Marie Jurgens, MS
• Doris Justice
• K and J Sunshine Home Health Care, Inc.
• Karina Kalmbach, APRN
• Steeve Kamgang
• Kandie Medical Supply
• Kathleen D. Shaffer LLC
• Suruchii Kathpalia, M.D.

• Dental Clinic/Center in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.