NPIMap

Organization Active NPI

Northampton Family Dentistry PC

  • Dentist
  • Northampton, MA
National Provider Identifier
1861896862
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22064 Issued in MA
Legal business name
NORTHAMPTON FAMILY DENTISTRY PC
Practice address
69 Bridge St
Northampton, MA 01060-2402
Phone
(413) 584-1722
Fax
(413) 584-5835
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. Chulhwan Jake Kim, D.M.D.NPI 1023193448
Title
Owner
Phone
(617) 869-0000

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
Dentist 122300000X DN22064 MA Primary

Addresses

Primary practice location

69 Bridge St
Northampton, MA 01060-2402

Mailing address

69 Bridge St
Northampton, MA 01060-2402
Phone (413) 584-1722

National Provider Directory

National Provider Directory

Locations

69 Bridge St
Northampton, MA 01060
Phone (413) 584-1722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1861896862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BRIDGE ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602402",
            "telephone_number": "413-584-1722",
            "fax_number": "413-584-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BRIDGE ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602402",
            "telephone_number": "413-584-1722",
            "fax_number": "413-584-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHAMPTON FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHULHWAN",
        "authorized_official_middle_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-869-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN22064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.