Organization Active NPI

Hi Dental Care LLC

  • Dental Clinic/Center
  • Norwich, CT
National Provider Identifier
1437526357
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
010809 Issued in CT
Legal business name
HI DENTAL CARE LLC
Practice address
598 W Main St
Unit 3
Norwich, CT 06360-5342
Phone
(917) 334-3544
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Youngchul Kim
Title
Owner
Phone
(917) 334-3544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 010809 CT Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

598 W Main St
Unit 3
Norwich, CT 06360-5342

Mailing address

32 Upper Pattagansett Rd
Unit 30
East Lyme, CT 06333-1147
Phone (917) 334-3544

Other identifiers 2

IdentifierTypeStateIssuer
1235445354MedicaidCT
1629384987MedicaidCT

National Provider Directory

National Provider Directory

Locations

598 W Main St
Unit 3
Norwich, CT 06360
Phone (917) 334-3544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1437526357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UPPER PATTAGANSETT RD",
            "address_2": "UNIT 30",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331147",
            "telephone_number": "917-334-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 W MAIN ST",
            "address_2": "UNIT 3",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605342",
            "telephone_number": "917-334-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGCHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-334-3544"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "010809",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235445354",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629384987",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.