Yeongbok Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YEONGBOK KIM DDS INC

Practice address

5405 Alton Pkwy Ste F
Irvine, CA 92604-3719

Phone

(949) 262-0300

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Yeongbok Kim, DDSNPI 1366013138

Title

Owner

Phone

(949) 933-6372

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yeongbok Kim, DDS

  • Dentist
  • Irvine, CA
  • NPI 1366013138
  NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1083359749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-933-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-262-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6372 Tivoli Ln",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917527329",
            "country_code": "US",
            "telephone_number": "949-933-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YEONGBOK KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YEONGBOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-933-6372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Irvine, CA
• Providers in Irvine, 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 Oct 27, 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.