Ho Jung Kim DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

58423 Issued in CA

Legal business name

HO JUNG KIM DDS INC

Doing business as

M Dental Group

Practice address

444 N Harbor Blvd
Suite 240
Fullerton, CA 92832-1979

Phone

(714) 526-5200

Fax

(714) 526-5656

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ho Jung Kim, DDS

Title

President

Phone

(213) 393-0290

Specialties & licenses 1

Addresses

Other names 1

• M Dental Group Doing business as

Locations

Practitioners 3

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.

• Rupporn Priyawat

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino Hills, CA
  • NPI 1033453667
  NPD
• Janet Hojung Kim, D.D.S

  • Dentist
  • Fullerton, CA
  • NPI 1104131101
  NPD (past)
• Maria Kim, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino Hills, CA
  • NPI 1053778241
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1023415684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N HARBOR BLVD",
            "address_2": "SUITE 240",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321979",
            "telephone_number": "714-526-5200",
            "fax_number": "714-526-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N HARBOR BLVD",
            "address_2": "SUITE 240",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321979",
            "telephone_number": "714-526-5200",
            "fax_number": "714-526-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO JUNG KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HO JUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-393-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Hinton
• Louis Michael Hinzo, R.A.S.
• Emily Grace Hipwell, PA-C
• Insia Hirawala, M.S.
• Dana Lyn Hirsch, DC
• Angela Ho
• Anh Lan Ho, D.D.S.
• Celine Vy Vy Ho
• Daniel Ho
• Han Ho

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.