Stanley S Kim Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STANLEY S KIM DENTAL CORP

Practice address

4362 Avenida Rio del Oro
Yorba Linda, CA 92886-3011

Phone

(714) 904-1183

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Stanley KimNPI 1093933400

Title

Dentist

Phone

(714) 904-1183

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stanley Shinyeong Kim, D.D.S.

  • Dentist
  • Fullerton, CA
  • NPI 1093933400
  NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1003445347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 AVENIDA RIO DEL ORO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863011",
            "telephone_number": "714-904-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 AVENIDA RIO DEL ORO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863011",
            "telephone_number": "714-904-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY S KIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-904-1183"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Yorba Linda, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.