Active NPI
Hak Cheon Kim DDS Inc
Doing business as Miracle Mile Comprehensive Dental
- General Practice Dentistry
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36394
- Legal business name
- HAK CHEON KIM DDS INC
- Doing business as
- Miracle Mile Comprehensive Dental
- Practice address
- 5455 Wilshire Blvd # 850
Los Angeles, CA 90036-4201 - Phone
- (323) 930-4600
- Fax
- (323) 930-4604
- NPI assigned
- Mar 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hak Cheon Kim, DDS
- Title
- Ceo
- Phone
- (323) 930-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36394 | CA | Primary |
Addresses
Primary practice location
5455 Wilshire Blvd # 850
Los Angeles, CA 90036-4201
Mailing address
5455 Wilshire Blvd # 850
Los Angeles, CA 90036-4201
Phone (323) 930-4600
Other names 1
- Miracle Mile Comprehensive Dental
National Provider Directory
National Provider Directory- Tax ID family
- Archibald Dental Office
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Archibald Dental Office
- General Practice Dentistry
- Ontario, CA
- NPI 1487720785
Locations
5455 Wilshire Blvd
Ste 850
Los Angeles, CA 90036
Phone (323) 930-4600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Los Angeles, CA
- NPI 1316544570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023141728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD # 850",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201",
"telephone_number": "323-930-4600",
"fax_number": "323-930-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD # 850",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201",
"telephone_number": "323-930-4600",
"fax_number": "323-930-4604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAK CHEON KIM DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HAK CHEON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-930-4600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "36394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Mile Comprehensive Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.