NPIMap

Organization Active NPI

Christopher J. Kim, DDS, Inc.

Doing business as Sunnyvale Santa Clara Dental

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1114355831
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43802 Issued in CA
Legal business name
CHRISTOPHER J. KIM, DDS, INC.
Doing business as
Sunnyvale Santa Clara Dental
Practice address
1002 E. El Camino Real
Sunnyvale, CA 94087
Phone
(408) 523-2828
Fax
(408) 523-2833
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Mr. Christopher Jung Kwon Kim, D.D.S., MENPI 1235265695
Title
President
Phone
(408) 523-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43802 CA Primary

Addresses

Primary practice location

1002 E. El Camino Real
Sunnyvale, CA 94087

Mailing address

1002 E. El Camino Real
Sunnyvale, CA 94087
Phone (408) 523-2828

Other names 1

  • Sunnyvale Santa Clara Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christopher J Kim DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1002 E El Camino Real
Sunnyvale, CA 94087
Phone (408) 523-2828

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1114355831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E. EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-523-2828",
            "fax_number": "408-523-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E. EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-523-2828",
            "fax_number": "408-523-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J. KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JUNG KWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-523-2828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S., ME"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyvale Santa Clara Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.