Kimberlie Yun, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIMBERLIE YUN, DMD, LLC

Practice address

401 S Van Brunt St # 404
Englewood, NJ 07631-4604

Phone

(201) 567-5667

Fax

(201) 567-5646

NPI assigned

Jun 4, 2017

Organization subpart

No

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

Authorized official

Name

Kimberlie Yun, DMDNPI 1194134064

Title

Dentist/Owner

Phone

(832) 661-8200

Specialties & licenses 1

Addresses

Other names 1

• Capital Dental Group Doing business as

Locations

Practitioners 1

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

• Kimberlie A Yun, D.M.D.

  • General Practice Dentistry
  • Englewood, NJ
  • NPI 1194134064
  NPD (past) Authorized official

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496534400000",
    "number": "1780112714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST # 404",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-567-5667",
            "fax_number": "201-567-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST # 404",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-567-5667",
            "fax_number": "201-567-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLIE YUN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "832-661-8200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sung Won Kim
• Tara Kim, M.D.
• Yeun Sook Kim, MD
• Yoon Hee Kim
• Yun Hui Kim
• Ilana Ariel Kipnis, D.O.
• Kirk J Levy MD PC
• Sean Thomas Kleczkowski, DOCTOR OF AUDIOLOGY
• Donna Klein, CRNA
• James Joseph Klein, MD

• Dental Clinic/Center in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.