JK Family Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JK FAMILY DENTAL INC

Practice address

8819 Whittier Blvd Ste 102
Pico Rivera, CA 90660-2673

Phone

(562) 699-1000

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Jae Eun Kim, DMDNPI 1285287110

Title

General Dentist

Phone

(626) 800-9311

Specialties & licenses 1

Addresses

Other names 1

• Dental Practice of Jae Eun Kim, DMD Doing business as

Locations

Practitioners 1

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

• Jae Eun Kim, DMD

  • General Practice Dentistry
  • Pico Rivera, CA
  • NPI 1285287110
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1104570548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 WHITTIER BLVD STE 102",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602673",
            "telephone_number": "562-699-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 WHITTIER BLVD STE 102",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602673",
            "telephone_number": "562-699-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE EUN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "626-800-9311",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Practice of Jae Eun Kim, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Lagatta DDS Inc
• Jay Jiang OD, Inc.
• Jay Ruzhang Jiang, OPTOMETRY
• Alejandro Jimenez Jr., D.D.S.
• Valeria Alejandra Jimenez, PHARM D
• JKL Group, Inc.
• Christina M Johannsen-Elbling
• Katie Lorrie Jones
• Joon Hee Lee DMD a Professional Corp.
• Elisea Jose, N.P.

• Dental Clinic/Center in Pico Rivera, CA
• Providers in Pico Rivera, 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 Feb 4, 2022; 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.