MJK DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29634 Issued in TX

Legal business name

MJK DDS PC

Practice address

1800 Brinker Rd
Suite 290
Denton, TX 76208-6176

Phone

(940) 483-1599

Fax

(940) 483-1597

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By 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. Michael Kim, D.D.S.

Title

Owner

Phone

(213) 820-1457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1942680061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BRINKER RD",
            "address_2": "SUITE 290",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086176",
            "telephone_number": "940-483-1599",
            "fax_number": "940-483-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRINKER RD",
            "address_2": "SUITE 290",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086176",
            "telephone_number": "940-483-1599",
            "fax_number": "940-483-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-820-1457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bridget Hansen Mitchell, OT
• Leah Mitchell
• Pamela Mitchell
• Phillip Ryan Mitchell, MS, LCDC
• Virginia Anne Mitchell, PT
• Mjkfit LLC
• MK Roberts Psychological Services LLC
• MMKM, Inc (Kind Companions)
• MNM Lonestar Rehabilitation, Inc. (LoneStar Rehabilitation)
• Heather Leanne Mock, MT-BC

• General Practice Dentistry in Denton, TX
• Providers in Denton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.