Sung Hoon Sim DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUNG HOON SIM DDS LLC

Practice address

10704 E Harry St
Wichita, KS 67207-5024

Phone

(316) 682-6707

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sung Hoon Sim, DDSNPI 1891076360

Title

Owner

Phone

(316) 682-6707

Specialties & licenses 1

Addresses

Locations

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.

• Sung Hoon Sim, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1891076360
  NPD (past) Authorized official
• Laurence L Lamson, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1114977220
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1932657400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10704 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075024",
            "telephone_number": "316-682-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075024",
            "telephone_number": "316-682-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG HOON SIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "SUNG HOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-682-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.