NPIMap

Organization Active NPI

Navo Dental Professionals PC

  • General Practice Dentistry
  • Aubrey, TX
National Provider Identifier
1679048292
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NAVO DENTAL PROFESSIONALS PC
Doing business as
Navo Family Dental
Practice address
26742 E. University Dr.
Building 200, Suite 220
Aubrey, TX 76227
Phone
(972) 845-1234
Fax
(972) 845-1212
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Dr. Kelly Heejung Kim, DDSNPI 1760816607
Title
Owner Dentist
Phone
(682) 308-4015

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

26742 E. University Dr.
Building 200, Suite 220
Aubrey, TX 76227

Mailing address

15517 Bryant Park Ave
Prosper, TX 75078-1711
Phone (682) 308-4015

Other names 1

  • Navo Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

26742 E University Dr
Bldg 200
Aubrey, TX 76227
Phone (972) 845-1234

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": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1679048292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15517 BRYANT PARK AVE",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781711",
            "telephone_number": "682-308-4015",
            "fax_number": "972-845-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26742 E. UNIVERSITY DR.",
            "address_2": "BUILDING 200, SUITE 220",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "972-845-1234",
            "fax_number": "972-845-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVO DENTAL PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "HEEJUNG",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "682-308-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navo Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navo Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.