NPIMap

Organization Active NPI

Comfort Dental Care

  • Dental Clinic/Center
  • Randolph, MA
National Provider Identifier
1972831428
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20565 Issued in MA
Legal business name
COMFORT DENTAL CARE
Practice address
15 Warren St
Randolph, MA 02368-4015
Phone
(781) 963-3800
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Chris Unsok Kim, D.M.D.
Title
Owner
Phone
(781) 963-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20565 MA Primary

Addresses

Primary practice location

15 Warren St
Randolph, MA 02368-4015

Mailing address

15 Warren St
Randolph, MA 02368-4015
Phone (781) 963-3800

National Provider Directory

National Provider Directory
Tax ID family
Chris Kim DMD P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Warren St
Randolph, MA 02368
Phone (781) 767-7200

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1972831428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARREN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684015",
            "telephone_number": "781-963-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WARREN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684015",
            "telephone_number": "781-963-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "UNSOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-963-3800",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.