Organization Active NPI

Yjk Dental LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1639585193
Registry record updated Jul 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027635 Issued in IL
Legal business name
YJK DENTAL LLC
Practice address
1651 N Western Ave
Chicago, IL 60647-5321
Phone
(773) 698-8752
Fax
(773) 830-7107
NPI assigned
Jul 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2014

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

Authorized official

Name
Dr. Yoonju KimNPI 1730348525
Title
Owner
Phone
(773) 698-8752

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 019027635 IL Primary

Addresses

Primary practice location

1651 N Western Ave
Chicago, IL 60647-5321

Mailing address

1651 N Western Ave
Chicago, IL 60647-5321
Phone (773) 698-8752

Other names 1

  • Delight Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

1651 N Western Ave
Chicago, IL 60647
Phone (773) 698-8752

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": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404604800000",
    "number": "1639585193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475321",
            "telephone_number": "773-698-8752",
            "fax_number": "773-830-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475321",
            "telephone_number": "773-698-8752",
            "fax_number": "773-830-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YJK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOONJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-698-8752",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delight Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.