Active NPI
Mi Dental PC
- Dentist
- Mt Prospect, IL
National Provider Identifier
1689170318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019028417
- Legal business name
- MI DENTAL PC
- Practice address
- 1006 S Elmhurst Rd
Mt Prospect, IL 60056-4240 - Phone
- (646) 761-5224
- NPI assigned
- Apr 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hyun Min Kim, DDS
- Title
- Dentist
- Phone
- (646) 761-5224
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028417 | IL | Primary |
| Dental Clinic/Center | 261QD0000X | 019028417 | IL |
Addresses
Primary practice location
1006 S Elmhurst Rd
Mt Prospect, IL 60056-4240
Mailing address
39 Orrington CT
Schaumburg, IL 60173-2116
Phone (646) 761-5224
National Provider Directory
National Provider DirectoryLocations
1006 S Elmhurst Rd
Mt Prospect, IL 60056
Phone (646) 761-5224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Palatine, IL
- NPI 1285946749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1689170318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ORRINGTON CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601732116",
"telephone_number": "646-761-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 S ELMHURST RD",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600564240",
"telephone_number": "646-761-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MI DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYUN",
"authorized_official_middle_name": "MIN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "646-761-5224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019028417",
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019028417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.