Kids Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6006 Issued in OK

Legal business name

KIDS DENTAL

Practice address

10346 E 21St St
Tulsa, OK 74129-1606

Phone

(720) 532-3333

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Soomin Hong, D.D.S.

Title

Ceo

Phone

(720) 532-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1386897684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10346 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291606",
            "telephone_number": "720-532-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291606",
            "telephone_number": "720-532-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SOOMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-532-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Summer Kidd
• Christine Leanne Kidd
• Ethan Shane Kidd
• Alexia Faye Kidder, DO
• Skyler Kristine Kiddy
• Kids Health Care PC
• Kids Pediatric and Adolescent Care
• Kids Pediatric Care LLC
• Alysha Kieck, COTA/L
• Mark Adrain Kiefer, MD

• Dental Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.