NPIMap

Organization Active NPI

Rainbow Kids Dental, Inc.

  • Pediatric Dentistry
  • Edison, NJ
National Provider Identifier
1497563555
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RAINBOW KIDS DENTAL, INC.
Practice address
3900 Park Ave Ste 105
Edison, NJ 08820-3063
Phone
(732) 452-0100
Fax
(732) 452-0178
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Sungki Lee, DMDNPI 1780712430
Title
President
Phone
(732) 452-0100

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3900 Park Ave Ste 105
Edison, NJ 08820-3063

Mailing address

3900 Park Ave Ste 105
Edison, NJ 08820-3063
Phone (732) 452-0100

National Provider Directory

National Provider Directory

Locations

3900 Park Ave
Ste 105
Edison, NJ 08820
Phone (732) 452-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1497563555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 PARK AVE STE 105",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203063",
            "telephone_number": "732-452-0100",
            "fax_number": "732-452-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PARK AVE STE 105",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203063",
            "telephone_number": "732-452-0100",
            "fax_number": "732-452-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW KIDS DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNGKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-452-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.