Active NPI
Nicole D Kim, DMD
- Dentist
- East Greenwich, RI
National Provider Identifier
1346440948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN02694
- Practice address
- 5835 Post Rd
Suite 113
East Greenwich, RI 02818-2154 - Phone
- (401) 884-3340
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN02694 | RI | Primary |
Addresses
Primary practice location
5835 Post Rd
Suite 113
East Greenwich, RI 02818-2154
Mailing address
5835 Post Rd
Suite 113
East Greenwich, RI 02818-2154
Phone (401) 884-3340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN02694 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1346440948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 POST RD",
"address_2": "SUITE 113",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028182154",
"telephone_number": "401-884-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 POST RD",
"address_2": "SUITE 113",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028182154",
"telephone_number": "401-884-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NICOLE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN02694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.