NPIMap

Organization Active NPI

Daniel T. Kim, DDS

  • General Practice Dentistry
  • Lake Zurich, IL
National Provider Identifier
1588093033
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019727 Issued in IL
Legal business name
DANIEL T. KIM, DDS
Practice address
519 Ela Rd
Lake Zurich, IL 60047-2317
Phone
(847) 726-8999
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Daniel T Kim, DDSNPI 1629167937
Title
Owner
Phone
(847) 726-8999

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019019727 IL Primary

Addresses

Primary practice location

519 Ela Rd
Lake Zurich, IL 60047-2317

Mailing address

519 Ela Rd
Lake Zurich, IL 60047-2317
Phone (847) 726-8999

National Provider Directory

National Provider Directory

Locations

519 Ela Rd
Lake Zurich, IL 60047
Phone (847) 726-8999

Practitioners & affiliated clinicians

Practitioners 2

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1588093033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472317",
            "telephone_number": "847-726-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472317",
            "telephone_number": "847-726-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T. KIM, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-726-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.