Organization Active NPI

Kim T. Van, DMD II, P.a.

  • Dentist
  • Arlington, TX
National Provider Identifier
1831501568
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23133 Issued in TX
Legal business name
KIM T. VAN, DMD II, P.A.
Practice address
2111 N Collins St
Suite 203
Arlington, TX 76011-2848
Phone
(817) 459-2113
Fax
(817) 459-2123
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Kim T. Van, DMD
Title
Owner
Phone
(817) 459-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23133 TX Primary

Addresses

Primary practice location

2111 N Collins St
Suite 203
Arlington, TX 76011-2848

Mailing address

2111 N Collins St
Suite 203
Arlington, TX 76011-2848
Phone (817) 459-2113

National Provider Directory

National Provider Directory

Locations

2111 N Collins St
Ste 203
Arlington, TX 76011
Phone (817) 459-2113

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1831501568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N COLLINS ST",
            "address_2": "SUITE 203",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112848",
            "telephone_number": "817-459-2113",
            "fax_number": "817-459-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N COLLINS ST",
            "address_2": "SUITE 203",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112848",
            "telephone_number": "817-459-2113",
            "fax_number": "817-459-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM T. VAN, DMD II, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-459-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.