NPIMap

Organization Active NPI

Hyunyil Henry Kim DMD PC

Doing business as Henry Kim DMD PC

  • Prosthodontics
  • Mission Viejo, CA
National Provider Identifier
1114391562
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
64083 Issued in CA
Legal business name
HYUNYIL HENRY KIM DMD PC
Doing business as
Henry Kim DMD PC
Practice address
25982 Pala Ste 200
Mission Viejo, CA 92691-6727
Phone
(949) 472-5499
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Hyunyil Henry Kim, DMDNPI 1174690416
Title
President
Phone
(561) 252-3981

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
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 64083 CA Primary

Addresses

Primary practice location

25982 Pala Ste 200
Mission Viejo, CA 92691-6727

Mailing address

25982 Pala Ste 200
Mission Viejo, CA 92691-6727
Phone (949) 472-5499

Other names 1

  • Henry Kim DMD PC Doing business as

National Provider Directory

National Provider Directory

Locations

25982 Pala
Ste 200
Mission Viejo, CA 92691
Phone (949) 472-5499

Practitioners & affiliated clinicians

Practitioners 2

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": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1114391562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916727",
            "telephone_number": "949-472-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916727",
            "telephone_number": "949-472-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNYIL HENRY KIM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNYIL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-252-3981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "64083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Kim DMD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.