Organization Active NPI

Eukyeom Kim DDS PLLC

  • General Practice Dentistry
  • Horizon City, TX
National Provider Identifier
1568853398
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27859 Issued in TX
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Eukyeom KimNPI 1780971960
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.