Active NPI
Youngsam Kim Dental Corporation
- Dentist
- Irvine, CA
National Provider Identifier
1023525201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Irvine, CA
- NPI 1801395678
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.