Individual provider Active NPI

Yein Kim, D.M.D.

  • General Practice Dentistry
  • Euless, TX
National Provider Identifier
1932409745
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27856 Issued in TX
Practice address
1101 N Main St Ste 200
Euless, TX 76039
Phone
(817) 403-4024
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59940 CA
General Practice Dentistry 1223G0001X 27856 TX Primary

Addresses

Primary practice location

1101 N Main St Ste 200
Euless, TX 76039

Mailing address

7208 Marquis LN
Irving, TX 75063-3578
Phone (310) 926-9633

Other practice location 1

1828 Glendon Ave Apt 103
Los Angeles, CA 90025-8419
Phone (310) 926-9633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59940CAMDGeneral Practice Dentistry
27856TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kol Health PLLC Past Accepting new patients
Lok Health PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1932409745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 MARQUIS LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633578",
            "telephone_number": "310-926-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST STE 200",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "76039",
            "telephone_number": "817-403-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Glendon Ave Apt 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900258419",
            "country_code": "US",
            "telephone_number": "310-926-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59940",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.