Organization Active NPI

Youngsam Kim Dental Corporation

  • Dentist
  • Irvine, CA
National Provider Identifier
1023525201
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
YOUNGSAM KIM DENTAL CORPORATION
Practice address
4330 Barranca Pkwy Ste 140
Irvine, CA 92604-1703
Phone
(949) 523-2875
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Janice Park
Title
Admin
Phone
(714) 337-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4330 Barranca Pkwy Ste 140
Irvine, CA 92604-1703

Mailing address

4330 Barranca Pkwy Ste 140
Irvine, CA 92604-1703

National Provider Directory

National Provider Directory

Locations

4330 Barranca Pkwy
Ste 140
Irvine, CA 92604
Phone (949) 523-2875

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1023525201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041703",
            "telephone_number": "949-523-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSAM KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "714-337-4410"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.