NPI Code Detail JSON Logo

1285157487 NPI number — ROSY MINHYE KIM DDS

NPI Number: 1285157487
Health Care Provider/Practitioner: ROSY MINHYE KIM DDS

Information about “1285157487” NPI (ROSY MINHYE KIM DDS) exists in 1285157487 in HTML format HTML  |  1285157487 in plain Text format TXT  |  1285157487 in PDF (Portable Document Format) PDF  |  1285157487 in an XML format XML  formats.

NPI Number : 1285157487 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285157487",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "ROSY",
    "MiddleName": "MINHYE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "760 ROUTE 46 # 1019",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARSIPPANY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07054-3401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-296-2338",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "144 BOSTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIDGEPORT",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06610-1604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "475-422-8761",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2017",
    "LastUpdateDate": "04/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DS043043",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "101567",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "13317",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223D0004X",
          "TaxonomyName": "Dental Anesthesiology",
          "LicenseNumber": "GA2011",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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