Active NPI
Family Dentistry- Dr. Yooson Kim, LLC
- Dental Clinic/Center
- Elverson, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- FAMILY DENTISTRY- DR. YOOSON KIM, LLC
- Practice address
- 935 Heritage Dr
Elverson, PA 19520-9324 - Phone
- (610) 286-0312
- NPI assigned
- Mar 17, 2020
- Last updated
- Dec 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yooson E Kim, DMD
- Title
- Owner
- Phone
- (610) 286-0312
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
935 Heritage Dr
Elverson, PA 19520-9324
Mailing address
3411 Main St
Morgantown, PA 19543-7748
Phone (610) 286-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023088408 | Other | PA | NPI |
National Provider Directory
National Provider DirectoryLocations
935 Heritage Dr
Elverson, PA 19520
Phone (610) 286-0312
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Morgantown, PA
- NPI 1023088408
-
- Dentist
- Elverson, PA
- NPI 1003592668
-
- General Practice Dentistry
- Elverson, PA
- NPI 1144069410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1912533464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 MAIN ST",
"city": "MORGANTOWN",
"state": "PA",
"postal_code": "195437748",
"telephone_number": "610-286-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 HERITAGE DR",
"city": "ELVERSON",
"state": "PA",
"postal_code": "195209324",
"telephone_number": "610-286-0312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DENTISTRY- DR. YOOSON KIM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YOOSON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-286-0312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1023088408",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elverson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.