Young Rae Kim Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59862 Issued in CA

Legal business name

YOUNG RAE KIM DENTAL CORP

Practice address

937 N Lemon St
Anaheim, CA 92805-1825

Phone

(714) 776-1202

Fax

(714) 776-9504

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Young Rae Kim, DDS

Title

Ceo

Phone

(714) 776-1202

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Girish H Rami, DDS

  • Dentist
  • Hawaiian Gardens, CA
  • NPI 1134341514
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1093123770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 N LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051825",
            "telephone_number": "714-776-1202",
            "fax_number": "714-776-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 N LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051825",
            "telephone_number": "714-776-1202",
            "fax_number": "714-776-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG RAE KIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-776-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205137999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young Kim D.D.S. Inc.
• Young Kim DDS
• Young Kim DDS Inc
• Young Kim, DDS, Inc.
• Young Prosthetics Othotics, Inc.
• Young Rae Kim MD Inc
• Carol Chin Young, PHARM.D.
• Chrisara Marie Young
• Grace Jean Young, MD
• Kaila Young

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jul 25, 2014; 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.