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1497901250 NPI number — CAL KYUNG-HONG KIM DDS

NPI Number: 1497901250
Health Care Provider/Practitioner: CAL KYUNG-HONG KIM DDS

Information about “1497901250” NPI (CAL KYUNG-HONG KIM DDS) exists in 1497901250 in HTML format HTML  |  1497901250 in plain Text format TXT  |  1497901250 in PDF (Portable Document Format) PDF  |  1497901250 in an XML format XML  formats.

NPI Number : 1497901250 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497901250",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "CAL",
    "MiddleName": "KYUNG-HONG",
    "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": "736 SKYLINE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARRINGTON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60010-4239",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-626-0340",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "WILLOWBROOK DENTISTRY FOR CHILDREN",
    "SecondLinePracticeLocationAddress": "7000 S ADAMS ST SUITE 111",
    "PracticeLocationAddressCityName": "WILLOWBROOK",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-570-0858",
    "PracticeLocationAddressFaxNumber": "630-570-0870",
    "EnumerationDate": "08/13/2008",
    "LastUpdateDate": "07/02/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "019.029455",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DEN03014",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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