Halcyon Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HALCYON DENTAL PLLC

Practice address

769 N Heartland Dr Ste C
Sugar Grove, IL 60554-9347

Phone

(331) 444-1185

Fax

(630) 466-7405

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Kim, DDS, JDNPI 1205037835

Title

Managing Member

Phone

(331) 444-1185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joseph S. Kim, D.D.S.

  • General Practice Dentistry
  • Sugar Grove, IL
  • NPI 1205037835
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1770294993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 N HEARTLAND DR STE C",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549347",
            "telephone_number": "331-444-1185",
            "fax_number": "630-466-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 N HEARTLAND DR STE C",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549347",
            "telephone_number": "331-444-1185",
            "fax_number": "630-466-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "331-444-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, JD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Goebel
• Tyson A Goken, PT
• Gold Star Speech Therapy, P.C.
• Violet J Gronberg
• Kate Hahn, RPH
• Sarah Hammer, DPT
• Hansel M Debartolo Jr MD SC
• Courtney Hasemann, PHARMD
• Kristin R Hayes, PT
• Amy Heiman, LCPC

• Dental Clinic/Center in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.