Eric N. Kim, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8001 Issued in OR

Legal business name

ERIC N. KIM, DDS, PC

Practice address

8900 SW Hall Blvd
Portland, OR 97223-4493

Phone

(503) 644-2446

Fax

(503) 641-8696

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Eric N Kim, DDS

Title

President

Phone

(503) 644-2446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1851447817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW HALL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234493",
            "telephone_number": "503-644-2446",
            "fax_number": "503-641-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW HALL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234493",
            "telephone_number": "503-644-2446",
            "fax_number": "503-641-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC N. KIM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-644-2446",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "8001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.