Organization Active NPI

Delaware Dentistry, Paul Kim DDS, LLC

  • General Practice Dentistry
  • Delaware, OH
National Provider Identifier
1811444912
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024081 Issued in OH
Legal business name
DELAWARE DENTISTRY, PAUL KIM DDS, LLC
Practice address
809 N Houk Rd
Delaware, OH 43015-4418
Phone
(419) 309-0034
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Paul KimNPI 1336560234
Title
Sole Member
Phone
(419) 309-0034

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 Dentistry 1223G0001X 30.024081 OH Primary

Addresses

Primary practice location

809 N Houk Rd
Delaware, OH 43015-4418

Mailing address

809 N Houk Rd
Delaware, OH 43015-4418

National Provider Directory

National Provider Directory

Locations

809 N Houk Rd
Delaware, OH 43015
Phone (419) 309-0034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1811444912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N HOUK RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HOUK RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154418",
            "telephone_number": "419-309-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DENTISTRY, PAUL KIM DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "419-309-0034"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.