Dentistry of San Antonio

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DENTISTRY OF SAN ANTONIO

Practice address

13032 Nacogdoches Rd Ste 202
San Antonio, TX 78217-1962

Phone

(909) 602-7007

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Youngjoon Kim, DDSNPI 1922618297

Title

Owner

Phone

(909) 602-7007

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Youngjoon Lee Kim, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1922618297
  NPD Authorized official

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1952117756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 LAKE APACHE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135811",
            "telephone_number": "909-602-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13032 NACOGDOCHES RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171962",
            "telephone_number": "909-602-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGJOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-602-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentalworks of San Antonio P a (Toyota Family Health Center)
• Karin Dentino, PHARMD
• Dentist in San Antonio LLC (The Rim Dental Care)
• Dentistry for Little Folks
• Dentistry of Brownsville, PC (Kool Smiles)
• Dentists of Stone Oak, PC (Dentsits of Stone Oak)
• Dentists on Bulverde, PC (Dentists on Bulverde)
• Hope Danielle Dentler
• Denton Surgical Services, LLC
• Amanda Lyn Denton, RDN, LD

• Public Health Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.