Organization Active NPI

Shin and Kim, DDS, PLLC

  • Dental Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1831748458
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHIN AND KIM, DDS, PLLC
Practice address
121 S Estes Dr Ste 206B
Chapel Hill, NC 27514-2868
Phone
(919) 933-3310
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. Sae Kim, DDS
Title
Owner
Phone
(919) 933-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

121 S Estes Dr Ste 206B
Chapel Hill, NC 27514-2868

Mailing address

121 S Estes Dr Ste 206B
Chapel Hill, NC 27514-2868
Phone (919) 933-3310

Other names 1

  • Eastowne Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

121 S Estes Dr
Ste 206B
Chapel Hill, NC 27514
Phone (919) 933-3310

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1831748458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ESTES DR STE 206B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142868",
            "telephone_number": "919-933-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ESTES DR STE 206B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142868",
            "telephone_number": "919-933-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN AND KIM, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-933-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastowne Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

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