James Young Kim Dental Corp

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JAMES YOUNG KIM DENTAL CORP

Practice address

74420 Highway 111 Ste 1
Palm Desert, CA 92260-4144

Phone

(760) 779-5662

Fax

(760) 779-5683

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

James Young Kim

Title

Authorized Official

Phone

(760) 779-5662

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Daddio, D.D.S.

  • General Practice Dentistry
  • Indio, CA
  • NPI 1790800027
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1003388307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74420 HIGHWAY 111 STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604144",
            "telephone_number": "760-779-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74420 HIGHWAY 111 STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604144",
            "telephone_number": "760-779-5662",
            "fax_number": "760-779-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES YOUNG KIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-779-5662"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Eugene Jacobson, D.D.S.
• Kamar Jaghamah
• Mohannad Jaghamah
• Sanjana Jain
• James C. Pine MD a Medical Corporation
• Patricia James, M.D.
• Jan Hardinger Nursing Anesthesia
• Jang Dental Corporation
• Jae Won Jang
• Jasmine L. Ramos M.D P.C.

• Oral and Maxillofacial Surgery (Dentist) in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.