Organization Active NPI

Kim N Go Dentalcare,P.a

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1528482452
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25788 Issued in TX
Legal business name
KIM N GO DENTALCARE,P.A
Practice address
1231 E Pioneer Pkwy
Arlington, TX 76010-5886
Phone
(213) 219-9973
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Hawoon Kim
Title
Owner
Phone
(213) 219-9973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25788 TX Primary

Addresses

Primary practice location

1231 E Pioneer Pkwy
Arlington, TX 76010-5886

Mailing address

1231 E Pioneer Pkwy
Arlington, TX 76010-5886
Phone (213) 219-9973

Other identifiers 1

IdentifierTypeStateIssuer
1295048395OtherTXNPI(PERSONAL)

Other names 1

  • Nova dental Doing business as

National Provider Directory

National Provider Directory

Locations

1231 E Pioneer Pkwy
Arlington, TX 76010
Phone (213) 219-9973

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1528482452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105886",
            "telephone_number": "213-219-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105886",
            "telephone_number": "213-219-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM N GO DENTALCARE,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAWOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-219-9973"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI(PERSONAL)",
            "identifier": "1295048395",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.