Edward S Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29668 Issued in TX

Practice address

23021 Morton Ranch Rd Ste C
Katy, TX 77449-2537

Phone

(832) 930-7775

Fax

(832) 913-3137

NPI assigned

May 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekim@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Irolo Dental Services

  • General Practice Dentistry
  • Katy, TX
  • NPI 1003475898
  NPD Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1861668170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23021 MORTON RANCH RD STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492537",
            "telephone_number": "832-930-7775",
            "fax_number": "832-913-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23021 MORTON RANCH RD STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492537",
            "telephone_number": "832-930-7775",
            "fax_number": "832-913-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Kiecke, P.T.
• Gerard Nyunwu Kiffa
• Rosemary Nsum Kiffa
• Amy Marie Kiley, PHARMD
• Andrew Kim
• Jaibum Kim, DDS, MS
• Jonathan T Kim, MD
• Samuel Young Kim, M.D.
• Sejoon Sean Kim, D.D.S. M.D.
• Tae Kyong Kim, DC

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.