Joo Kim Dental Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOO KIM DENTAL PROFESSIONAL CORPORATION

Practice address

4531 Philadelphia St Ste B107
Chino, CA 91710-2249

Phone

(213) 595-1410

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Joo Hyung Kim, DDSNPI 1770002511

Title

Owner

Phone

(213) 595-1410

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joo Hyung Kim, DDS

  • Prosthodontics
  • Playa del Rey, CA
  • NPI 1770002511

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1033922828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 PHILADELPHIA ST STE B107",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102249",
            "telephone_number": "213-595-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 PHILADELPHIA ST STE B107",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102249",
            "telephone_number": "213-595-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOO KIM DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOO HYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-595-1410",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Jaye Johnson
• Sarita Johnson
• Staci R. Johnson, M.D.
• Jonathan D Ou MD Inc
• Dervonshay Jones
• Victor Jordan, PH.D.
• Jose a Dheming MD Inc
• Jose M. Pavia, MD, Inc.
• Joseph C. Hohl,Inc
• Joseph Chan Corp Corporation

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.