Kenny Young Kim DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

54955 Issued in CA

Legal business name

KENNY YOUNG KIM DDS INC

Practice address

20147 Pioneer Blvd
Lakewood, CA 90715-1051

Phone

(562) 924-0558

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Kenny KimNPI 1336352830

Title

President

Phone

(213) 820-3494

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Kenny Kim, DDS

  • Dentist
  • Lakewood, CA
  • NPI 1336352830
  NPD (past) Authorized official
• Andrew Chia Yuen Chen, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1346224946
  NPD (past)
• Ellen L Chen, DMD

  • Dentist
  • Lakewood, CA
  • NPI 1356458020
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1033664172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14657 VIA POINTE DEL SOL",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041364",
            "telephone_number": "213-820-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20147 PIONEER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151051",
            "telephone_number": "562-924-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY YOUNG KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-820-3494"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashif Ahmed Zuberi, MD, a Professional Corporation
• Karen Lee Keller
• Breonna Kelley
• Gail Duane Kelley, D.C.
• Wanda Kenlow, IBCLC
• Phyllis Antoinette Kenworthy, M.A.CCC/SLP
• Aaron R Kern, MD
• Sarah Kessler, CD(DONA)
• Joseph Kestenbaum, PH.D.
• Cleveland Key

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.