Organization Active NPI

E.Re Dental, PC

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1861715799
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049888 Issued in NY
Legal business name
E.RE DENTAL, PC
Practice address
2827 Bell Blvd
Bayside, NY 11360-2541
Phone
(718) 224-8031
Fax
(718) 224-8031
NPI assigned
Mar 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2010

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

Authorized official

Name
Dr. Hiyong Kim, D.D.S
Title
Dentist
Phone
(718) 224-8031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049888 NY Primary

Addresses

Primary practice location

2827 Bell Blvd
Bayside, NY 11360-2541

Mailing address

2827 Bell Blvd
Bayside, NY 11360-2541
Phone (718) 224-8031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267833600000",
    "number": "1861715799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602541",
            "telephone_number": "718-224-8031",
            "fax_number": "718-224-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602541",
            "telephone_number": "718-224-8031",
            "fax_number": "718-224-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.RE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-06",
        "last_updated": "2010-03-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HIYONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-224-8031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2010; 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.