DALE KIM DDS, PLLC – NPI #1689177008
Clinic/Center

DALE KIM DDS, PLLC is an AHC clinic located in DENVER, CO. NPPES has assigned the NPI number 1689177008 to DALE KIM DDS, PLLC on March 12, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 5 years ago on Dec 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DALE KIM DDS, PLLC below.

NPI Profile for
DALE KIM DDS, PLLC

NPI Number
1689177008
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DALE KIM DDS, PLLC
Primary location
2020 S PARKER RD UNIT F
DENVER, CO 80231
Phone: (310) 560-2962 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DALE KIM
GENERAL DENTIST
Phone: (720) 477-1449
Updated
Certification Date
Dec 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DALE KIM DDS, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO6320266
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CO 00202690

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.