Active NPI
Hi Dental Care LLC
- Dental Clinic/Center
- Norwich, CT
National Provider Identifier
1437526357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 010809
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235445354 | Medicaid | CT | |
| 1629384987 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Norwich, CT
- NPI 1235445354
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.