Active NPI
Eukyeom Kim DDS PLLC
- General Practice Dentistry
- Horizon City, TX
National Provider Identifier
1568853398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27859
- Legal business name
- EUKYEOM KIM DDS PLLC
- Practice address
- 13998 Horizon Blvd #140
Horizon City, TX 79928 - Phone
- (323) 381-0383
- NPI assigned
- Feb 16, 2015
- Last updated
- Feb 16, 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
- Eukyeom Kim
- Title
- D.D.S
- Phone
- (323) 381-0383
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27859 | TX | Primary |
Addresses
Primary practice location
13998 Horizon Blvd #140
Horizon City, TX 79928
Mailing address
362 Emerald Woods
El Paso, TX 79928
National Provider Directory
National Provider DirectoryLocations
13998 Horizon Blvd
Ste 140
Horizon City, TX 79928
Phone (323) 381-0383
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.
-
- General Practice Dentistry
- Horizon City, TX
- NPI 1780971960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424044800000",
"number": "1568853398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 EMERALD WOODS",
"city": "EL PASO",
"state": "TX",
"postal_code": "79928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13998 HORIZON BLVD #140",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "79928",
"telephone_number": "323-381-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUKYEOM KIM DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "EUKYEOM",
"authorized_official_title_or_position": "D.D.S",
"authorized_official_telephone_number": "323-381-0383"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horizon City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.