Dr. Kim'S Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23100 Issued in TX

Legal business name

DR. KIM'S DENTAL, INC

Practice address

2216 Royal LN
115
Dallas, TX 75229-7814

Phone

(972) 243-0365

Fax

(972) 247-0898

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Soon Ki KimNPI 1225151186

Title

President

Phone

(972) 399-1466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soonki Kim, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1225151186
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1649593971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 ROYAL LN",
            "address_2": "115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297814",
            "telephone_number": "972-243-0365",
            "fax_number": "972-247-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 ROYAL LN",
            "address_2": "115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752297814",
            "telephone_number": "972-243-0365",
            "fax_number": "972-247-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIM'S DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOON KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-399-1466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Jan Martin Dunn, PLLC
• Dr. Jeffrey Jones, PLLC
• Dr. Jose R. Zamorano, Jr & Assoc
• Dr. Karl a. Kuchenbacker PC
• Dr. Kate, MD, PLLC
• Dr. Krystina Pham & Associates
• Dr. Love and Associates Psychological Practice
• Dr. Michael J. Anigian, M.D., P.a.
• Dr. Michael V. Doyle MD PA
• Dr. Mukesh Kumar D. Delvadiya, MD. PLLC

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.