Eric Kim DMD Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERIC KIM DMD CORP

Practice address

501 N Cornell Ave # 1
Fullerton, CA 92831-2744

Phone

(714) 992-0092

Fax

(714) 992-2154

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Kim, DMDNPI 1376927855

Title

Owner

Phone

(714) 725-1785

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, and the practitioner matching its NPPES authorized official.

• Eric Kim, D.M.D.

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1376927855
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1083319800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE # 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-992-0092",
            "fax_number": "714-992-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE # 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-992-0092",
            "fax_number": "714-992-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC KIM DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-725-1785",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Christina Enriquez, MSW, LCSW, PPSC
• Mark Enselman, PA-S
• Episode Management Inc (Stems Medicine)
• Helia Eragi, D.O.
• Eric Cho, Inc
• Eric Meyer DDS Inc.
• Eric Naasz DPM Inc
• Eric Naasz, DPM Inc (Fullerton Foot and Ankle Specialist)
• Brooke Erickson
• Florencia R Erickson, BA SOCIAL WORK

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, 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 Apr 3, 2023; 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.