David S Kim DDS Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID S KIM DDS CORP

Practice address

25078 Peachland Ave
Ste G
Newhall, CA 91321-2533

Phone

(661) 255-0220

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

David Seongdo Kim

Title

Owner

Phone

(661) 255-0220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1053665497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE",
            "address_2": "STE G",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212533",
            "telephone_number": "661-255-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE",
            "address_2": "STE G",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212533",
            "telephone_number": "661-255-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S KIM DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SEONGDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-0220"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ellen Criss-Hagerty, PH.D.
• Tracy L Cunningham, D.C.
• Frank J D'Ambrosio, P.T.
• Staci Deanna Daniels-Sommers, LCSW
• David a Tanner DDS Inc
• Laurel Mae Davis, LMFT
• Samantha Davis, CLD, CPD, CCBE
• Eleanor Chan De Guzman, D.D.S.
• Karyssa Ann Dela Cruz, CPO
• Sean Willis Delaney, D.C.

• General Practice Dentistry in Newhall, CA
• Providers in Newhall, 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 Nov 7, 2012; 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.