NPIMap

Organization Active NPI

Red Bird Dental, PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1780845016
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22641 Issued in TX
Legal business name
RED BIRD DENTAL, PLLC
Practice address
8300 Homestead Rd Ste 3
Houston, TX 77028-2149
Phone
(713) 631-3700
Fax
(713) 631-3703
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Joon H Kim, DDSNPI 1326196825
Title
Owner
Phone
(713) 631-3700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22641 TX Primary

Addresses

Primary practice location

8300 Homestead Rd Ste 3
Houston, TX 77028-2149

Mailing address

8300 Homestead Rd
Ste 3
Houston, TX 77028-2149
Phone (713) 631-3700

Other names 1

  • Homestead Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8300 Homestead Rd
Ste 3
Houston, TX 77028
Phone (713) 631-3700

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1780845016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD",
            "address_2": "STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700",
            "fax_number": "281-888-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700",
            "fax_number": "713-631-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BIRD DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-631-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.