Skim DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SKIM DDS INC

Practice address

4635 E Avenue S
Palmdale, CA 93552-4483

Phone

(661) 349-8280

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Song K Kim, DDS

Title

President

Phone

(661) 349-8280

Specialties & licenses 2

Addresses

Other names 1

• Premier Dental Suite Doing business as

Locations

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1003369554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 E AVENUE S",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 E AVENUE S",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524483",
            "telephone_number": "661-349-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SONG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-349-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.