Individual provider Active NPI

Christine Kim Pinyopusarerk, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1831582659
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31730 Issued in TX
Practice address
11740 State Highway 249 Ste a
Houston, TX 77086
Phone
(281) 713-5780
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31730 TX Primary

Addresses

Primary practice location

11740 State Highway 249 Ste a
Houston, TX 77086

Mailing address

11740 State Highway 249 Ste a
Houston, TX 77086-4133

Other practice location 1

6300 West Loop S
Ste. 650
Bellaire, TX 77401-2900
Phone (713) 457-3445

Other practice location 2

20 E Crosstimbers St Ste B
Houston, TX 77022-6226
Phone (713) 692-2400

Other practice location 3

20 E Crosstimbers St Ste B
Houston, TX 77022-6226
Phone (713) 692-2400

Other names 1

  • Christine Hyun Joo Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31730TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Squad of Houston 249 PLLC CurrentSince Nov 17, 2019 Accepting new patients
Brident Dental Associates PC Past Accepting new patients
South Texas Dental Associates, L.P. General Practice Past Accepting new patients

Locations

11740 State Highway 249
Ste A
Houston, TX 77086
Phone (281) 713-5780

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1831582659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 STATE HIGHWAY 249 STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770864133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 STATE HIGHWAY 249 STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77086",
            "telephone_number": "281-713-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 West Loop S",
            "address_2": "Ste. 650",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012900",
            "country_code": "US",
            "telephone_number": "713-457-3445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 E Crosstimbers St Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770226226",
            "country_code": "US",
            "telephone_number": "713-692-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 E Crosstimbers St Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770226226",
            "country_code": "US",
            "telephone_number": "713-692-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINYOPUSARERK",
        "first_name": "CHRISTINE",
        "middle_name": "KIM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KIM",
            "middle_name": "HYUN JOO",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 1, 2019; 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.