Sungshim Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUNGSHIM DENTAL INC

Practice address

1070 N King St Ste 207
Honolulu, HI 96817-4584

Phone

(808) 499-7924

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jisu Kim, DDSNPI 1568936763

Title

President

Phone

(808) 499-7924

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.

• Jisu Kim, DDS

  • Dentist
  • Honolulu, HI
  • NPI 1568936763
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1275366155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N KING ST STE 207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174584",
            "telephone_number": "808-499-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N KING ST STE 207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174584",
            "telephone_number": "808-499-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGSHIM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JISU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-499-7924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Sunamoto, M.D.
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• Hiro Sung, M.D.
• Stanley H. Sung, M.D.
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• Sunny Manso Counseling LLC
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• Christian S. Sunoo, MD

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.