Jae Eun Kim, DMD Dentistry Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAE EUN KIM, DMD DENTISTRY INC

Practice address

8819 Whittier Blvd Ste 102-103
Pico Rivera, CA 90660-2672

Phone

(562) 699-1000

Fax

(562) 699-1099

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Jae Eun Kim, DMDNPI 1285287110

Title

Owner Dentist

Phone

(562) 699-1000

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.

• Jae Eun Kim, DMD

  • General Practice Dentistry
  • Pico Rivera, CA
  • NPI 1285287110
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1043927015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 WHITTIER BLVD STE 102-103",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602672",
            "telephone_number": "562-699-1000",
            "fax_number": "562-699-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 WHITTIER BLVD STE 102-103",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602672",
            "telephone_number": "562-699-1000",
            "fax_number": "562-699-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE EUN KIM, DMD DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE EUN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "562-699-1000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ibanez
• Leanne M Ibarra
• Vanessa Iniguez, LCSW
• International Pharmacies Inc (Botica San Martin)
• Isaac Chen Dental Corporation
• James Lagatta DDS Inc
• Jay Jiang OD, Inc.
• Jay Ruzhang Jiang, OPTOMETRY
• Alejandro Jimenez Jr., D.D.S.
• Valeria Alejandra Jimenez, PHARM D

• Dental Clinic/Center in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.