NPIMap

Organization Active NPI

Apple Family Dentistry

  • General Practice Dentistry
  • North Wales, PA
National Provider Identifier
1629309182
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 036075 Issued in PA
Legal business name
APPLE FAMILY DENTISTRY
Practice address
275 Dekalb Pike
Unit 101
North Wales, PA 19454-1806
Phone
(215) 699-3700
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Tae Soo Kim, D.M.D
Title
President
Phone
(215) 699-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS 036075 PA Primary

Addresses

Primary practice location

275 Dekalb Pike
Unit 101
North Wales, PA 19454-1806

Mailing address

275 Dekalb Pike
Unit 101
North Wales, PA 19454-1806
Phone (215) 699-3700

National Provider Directory

National Provider Directory

Locations

275 DeKalb Pike
Unit 101
North Wales, PA 19454
Phone (215) 699-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1629309182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 DEKALB PIKE",
            "address_2": "UNIT 101",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541806",
            "telephone_number": "215-699-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 DEKALB PIKE",
            "address_2": "UNIT 101",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541806",
            "telephone_number": "215-699-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-699-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 036075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.