Active NPI
Sebyuk Chloe Kim, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1841843430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35539
- Practice address
- 8030 Spring Valley Rd
Dallas, TX 75240-3827 - Phone
- (972) 783-4242
- NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- Sex
- Female
- 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 | 35539 | TX | Primary |
Addresses
Primary practice location
8030 Spring Valley Rd
Dallas, TX 75240-3827
Mailing address
2500 Lakeside Pkwy Apt 323
Flower Mound, TX 75022-4177
Phone (502) 791-4630
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 |
|---|---|---|---|
| 35539 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebyuk Dentistry | Dentist | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1841843430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 LAKESIDE PKWY APT 323",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224177",
"telephone_number": "502-791-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752403827",
"telephone_number": "972-783-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEBYUK",
"middle_name": "CHLOE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35539",
"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 22, 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.