NPIMap

Organization Active NPI

Young Kim DDS

  • Dentist
  • Anaheim, CA
National Provider Identifier
1053795211
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31939 Issued in CA
Legal business name
YOUNG KIM DDS
Practice address
1721 W Katella Ave Ste a
Anaheim, CA 92804-6195
Phone
(714) 772-5656
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Young Kim
Title
Ceo
Phone
(714) 772-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31939 CA Primary

Addresses

Primary practice location

1721 W Katella Ave Ste a
Anaheim, CA 92804-6195

Mailing address

1721 W Katella Ave Ste a
Anaheim, CA 92804-6195
Phone (714) 772-5656

Other names 1

  • Welcome Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Young Kim Dental Group of Westmoreland Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1053795211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W KATELLA AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046195",
            "telephone_number": "714-772-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W KATELLA AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046195",
            "telephone_number": "714-772-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-772-5656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.