Organization Active NPI

Crown Centers LLC

  • General Practice Dentistry
  • Brookline, MA
National Provider Identifier
1457868044
Registry record updated Apr 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROWN CENTERS LLC
Practice address
1626 Beacon St
Brookline, MA 02446-2201
Phone
(781) 366-4002
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2018

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

Authorized official

Name
Dr. Hyung Joon Kim, DDSNPI 1649654286
Title
Dentist / Member of LLC
Phone
(617) 250-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1626 Beacon St
Brookline, MA 02446-2201

Mailing address

32 2ND Ave Apt 420
Burlington, MA 01803-4445

Other names 1

  • Coron Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1626 Beacon St
Brookline, MA 02446
Phone (617) 250-8545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523145600000",
    "number": "1457868044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 2ND AVE APT 420",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462201",
            "telephone_number": "781-366-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-04-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNG",
        "authorized_official_middle_name": "JOON",
        "authorized_official_title_or_position": "DENTIST / MEMBER OF LLC",
        "authorized_official_telephone_number": "617-250-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coron Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coron Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.