Active NPI
Ji Seok Kim, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1841714078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33325
- Practice address
- 7033 Greenville Ave Ste 102
Dallas, TX 75231-5116 - Phone
- (214) 233-9460
- NPI assigned
- Jul 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33325 | TX | Primary |
Addresses
Primary practice location
7033 Greenville Ave Ste 102
Dallas, TX 75231-5116
Mailing address
6523 Escena Blvd Unit 3100
Irving, TX 75039-4280
Phone (267) 475-2539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33325 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanina C. Arrechea, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Daily Smiles Dental
- General Practice Dentistry
- Dallas, TX
- NPI 1851730667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501372800000",
"number": "1841714078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6523 ESCENA BLVD UNIT 3100",
"city": "IRVING",
"state": "TX",
"postal_code": "750394280",
"telephone_number": "267-475-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7033 GREENVILLE AVE STE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315116",
"telephone_number": "214-233-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI SEOK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-30",
"last_updated": "2017-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.