Yoori Kim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29426 Issued in TX

Practice address

4011 E Renner Rd
Suite 107
Richardson, TX 75082-2916

Phone

(972) 238-5665

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeffrey W Moore DDS PA

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1003901661
  NPD (past)
• North Star Dental PLLC

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1326764986
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1992069595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD",
            "address_2": "SUITE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822916",
            "telephone_number": "972-238-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD",
            "address_2": "SUITE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822916",
            "telephone_number": "972-238-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOORI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29426",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinsoo Kim, DDS
• Kevin Kim, M.D.
• Mitchell Kim, D.D.S.
• Tae H Kim, DDS
• Woan Sang Kim, DO
• David Dee Kinard, CNS
• King Surgical Consultants LLC
• Carol King, L.C.S.W.
• Katina King, RN
• Kimberly Joiner King, PH.D.

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, 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 Apr 13, 2017; 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.