Jeffrey Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102552 Issued in CA

Practice address

4200 Chino Hills Pkwy Ste 880
Chino Hills, CA 91709-5831

Phone

(909) 393-5456

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel I. Lee , Inc.

  • Dental Clinic/Center
  • Chino Hills, CA
  • NPI 1790989614
  NPD (past)
• Danny Cho,D.D.S. Inc.

  • Dental Clinic/Center
  • Chino Hills, CA
  • NPI 1538030135
  NPD (past)
• Myung & Chung Dental Corporation

  dba Downey Dental Group

  • Dentist
  • Downey, CA
  • NPI 1467643478
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1083190748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 CAZADOR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653406",
            "telephone_number": "213-598-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 880",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095831",
            "telephone_number": "909-393-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8102 3rd St",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902413604",
            "country_code": "US",
            "telephone_number": "562-803-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Khushalani
• Doris A.K. Kilzi, PHARM D
• Kim and Gandhi Kim Dental Corporation
• Alex Kim, MSN, RN, FNP-C
• Benneth Bundit Kim, PT, DPT
• Jenny Kim
• Jin Young Kim, DDS, MS
• Karis Kim
• Lauren J Kim, PHARM. D.
• Maria Kim, D.D.S.

• Dentist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.