Louis M Kim, a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53231 Issued in CA

Legal business name

LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION

Practice address

1824 Avondale Ave
Sacramento, CA 95825-1378

Phone

(916) 900-8521

Fax

(916) 900-8526

NPI assigned

Oct 2, 2017

Organization subpart

Yes

Parent organization

LOUIS KIM DDS INC.As reported in NPPES

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

Authorized official

Name

Louis Kim, DDS

Title

Owner/Dentist

Phone

(916) 900-8521

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Louis Kim DDS Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Louis Kim DDS Inc.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1174761522
  NPPES parent name

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104336478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 AVONDALE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251378",
            "telephone_number": "916-900-8521",
            "fax_number": "916-900-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 AVONDALE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251378",
            "telephone_number": "916-900-8521",
            "fax_number": "916-900-8526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Florin Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958231818",
            "country_code": "US",
            "telephone_number": "916-392-7020",
            "fax_number": "916-392-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUIS KIM DDS INC.",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "916-900-8521",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174711522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Doreen Louie, O.D.
• Yuriko Louie
• Louis Gallia MD Medical Corp
• Louis H Nicolaus Optical Company
• Louis Kim DDS Inc.
• Marian Louis, MD
• Jonathan Louissaint
• Elisa Louizos, LCSW
• Efstathia Loukenas
• Tamsen Charna Loundon Dsouza, FNP-C

• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.