Savannah J. Kim Professional Corporation, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

56483 Issued in CA

Legal business name

SAVANNAH J. KIM PROFESSIONAL CORPORATION, INC.

Practice address

4736 Scotts Valley Dr Ste C
Scotts Valley, CA 95066-4226

Phone

(408) 329-2327

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Savannah Kim

Title

Ceo

Phone

(408) 329-2327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1043644610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 RALSTON AVE STE 1B",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 SCOTTS VALLEY DR STE C",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664226",
            "telephone_number": "408-329-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH J. KIM PROFESSIONAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-329-2327"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.