Dale Kim DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

00202690 Issued in CO

Legal business name

DALE KIM DDS, PLLC

Practice address

2020 S Parker Rd Unit F
Denver, CO 80231

Phone

(310) 560-2962

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dale Kim, DDSNPI 1053784207

Title

General Dentist

Phone

(720) 477-1449

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dale Kim, DDS

  • General Practice Dentistry
  • Denver, CO
  • NPI 1053784207
  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1689177008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S PARKER RD UNIT F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315724",
            "telephone_number": "720-477-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S PARKER RD UNIT F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "310-560-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE KIM DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "720-477-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00202690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6320266",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Dake, DPT
• Tara Dakin Sauer, LMFT
• Samay A. Dalal, M.D.
• Dalalitinaja Center
• Dale Audrey Inc.
• Sara Dale-Bley, IBCLC, RLC
• Angelina C Dale
• Eric A Dale, DDS
• Madison Dale, MA, LPC
• Catherine Rose Daley, M.S.

• Dental Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.