Organization Active NPI

Joeun Dental P.C.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1861280653
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOEUN DENTAL P.C.
Practice address
3636 Prince St Ste 304
Flushing, NY 11354-4031
Phone
(718) 358-3636
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Jong W. Kim, DDSNPI 1720245772
Title
Dentist
Phone
(718) 358-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3636 Prince St Ste 304
Flushing, NY 11354-4031

Mailing address

3636 Prince St Ste 304
Flushing, NY 11354-4031
Phone (718) 358-3636

National Provider Directory

National Provider Directory

Locations

3636 Prince St
Ste 304
Flushing, NY 11354
Phone (718) 358-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1861280653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 PRINCE ST STE 304",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544031",
            "telephone_number": "718-358-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 PRINCE ST STE 304",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544031",
            "telephone_number": "718-358-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEUN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-358-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.