Active NPI
Heivi Kim, DDS, Inc.
- Dentist
- Los Angeles, CA
National Provider Identifier
1033584669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63356
- Legal business name
- HEIVI KIM, DDS, INC.
- Practice address
- 5877 S Vermont Ave
Los Angeles, CA 90044-3741 - Phone
- (323) 759-1523
- NPI assigned
- Dec 8, 2015
- 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
- Dr. Heivi Min Ryung Kim, DDS
- Title
- Owner, DDS
- Phone
- (213) 718-0811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63356 | CA | Primary |
Addresses
Primary practice location
5877 S Vermont Ave
Los Angeles, CA 90044-3741
Mailing address
5877 S Vermont Ave
Los Angeles, CA 90044-3741
Phone (213) 718-0811
Other practice location 1
2321 E Florence Ave
Huntington Park, CA 90255-5620
Phone (213) 718-0811
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1295145548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1033584669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5877 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443741",
"telephone_number": "213-718-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5877 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443741",
"telephone_number": "323-759-1523"
}
],
"practiceLocations": [
{
"address_1": "2321 E Florence Ave",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902555620",
"country_code": "US",
"telephone_number": "213-718-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEIVI KIM, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-08",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HEIVI MIN RYUNG",
"authorized_official_title_or_position": "OWNER, DDS",
"authorized_official_telephone_number": "213-718-0811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "63356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.