Active NPI
Young Kim DDS Inc
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1003920059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31939
- Legal business name
- YOUNG KIM DDS INC
- Practice address
- 1721 W Katella Ave #a
Anaheim, CA 92804 - Phone
- (714) 772-5656
- Fax
- (714) 772-4434
- NPI assigned
- Aug 18, 2006
- Organization subpart
- Yes
- Parent organization
- YOUNG KIM, DDS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Young Kim, DDS
- Title
- Dentist/ Owner
- Phone
- (714) 772-5656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31939 | CA | Primary |
Addresses
Primary practice location
1721 W Katella Ave #a
Anaheim, CA 92804
Mailing address
1721 W Katella Ave #a
Anaheim, CA 92804
Phone (714) 772-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B31939 | Other | CA | DENTI-CAL |
Other names 1
- Thank You Dental
National Provider Directory
National Provider Directory- Part of
- Young Kim Dental Group of Westmoreland Inc
Locations
1721 W Katella Ave
Anaheim, CA 92804
Phone (714) 772-5656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594771200000",
"number": "1003920059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 W KATELLA AVE #A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804",
"telephone_number": "714-772-5656",
"fax_number": "714-772-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 W KATELLA AVE #A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804",
"telephone_number": "714-772-5656",
"fax_number": "714-772-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG KIM DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YOUNG KIM, DDS, INC.",
"enumeration_date": "2006-08-18",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YOUNG",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "714-772-5656",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B31939",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thank You Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.