1598968315 NPI number — DR. CHRISTOPHER CHAEHO KIM D.D.S.

Table of content: DR. CHRISTOPHER CHAEHO KIM D.D.S. (NPI 1598968315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598968315 NPI number — DR. CHRISTOPHER CHAEHO KIM D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KIM
Provider First Name:
CHRISTOPHER
Provider Middle Name:
CHAEHO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598968315
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 MILL VALLEY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLEYVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76034-3667
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-948-9574
Provider Business Mailing Address Fax Number:
817-514-2349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5040 N. TARRANT PKWY
Provider Second Line Business Practice Location Address:
SUITE #118
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-948-9574
Provider Business Practice Location Address Fax Number:
817-514-2349
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  21561 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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