Organization Active NPI

My Dentist Friend

  • Dentist
  • Vineland, NJ
National Provider Identifier
1467026864
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MY DENTIST FRIEND
Practice address
401 W Landis Ave
Vineland, NJ 08360-8105
Phone
(240) 271-2122
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Hojin Kim, DMD
Title
Owner
Phone
(856) 500-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

401 W Landis Ave
Vineland, NJ 08360-8105

Mailing address

401 W Landis Ave
Vineland, NJ 08360-8105

National Provider Directory

National Provider Directory

Locations

401 W Landis Ave
Vineland, NJ 08360
Phone (240) 271-2122

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1467026864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608105",
            "telephone_number": "240-271-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST FRIEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HOJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-500-8382",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.