NPIMap

Organization Active NPI

J.Kim Dental Consultants LTD.

  • Dentist
  • Chicago, IL
National Provider Identifier
1992977045
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J.KIM DENTAL CONSULTANTS LTD.
Practice address
4044 N Narragansett Ave
Chicago, IL 60634-1586
Phone
(773) 545-4426
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
John KimNPI 1922098748
Title
Dentist
Phone
(773) 545-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

4044 N Narragansett Ave
Chicago, IL 60634-1586

Mailing address

4044 N Narragansett Ave
Chicago, IL 60634-1586

National Provider Directory

National Provider Directory

Locations

4044 N Narragansett Ave
Chicago, IL 60634
Phone (773) 545-4426

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1992977045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 N NARRAGANSETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 N NARRAGANSETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341586",
            "telephone_number": "773-545-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.KIM DENTAL CONSULTANTS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-545-4426"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.