Olympia Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8758 Issued in WA

Legal business name

OLYMPIA FAMILY DENTAL

Practice address

2600 Yelm Hwy SE
Olympia, WA 98501-4826

Phone

(360) 352-6500

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Calvin H Kim, DDS

Title

Owner

Phone

(360) 352-6500

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Calvin H. Kim DDS PLLC

  • General Practice Dentistry
  • Chehalis, WA
  • NPI 1255713335
  NPPES parent name

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1780066852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-352-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-352-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-352-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympia Chiropractic Center PS
• Olympia Emergency Care Physicians PLLC
• Olympia Emergency Services, PLLC
• Olympia Eye Clinic PLLC
• Olympia Eye Clinic PLLC
• Olympia Family Medicine, Inc.
• Olympia Fertility
• Olympia Health Care Services
• Olympia Health Inc
• Olympia Imaging Center

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.