Organization Active NPI

Lovinger, Kim, & Khzouz Dental Corporation

  • Dentist
  • Fullerton, CA
National Provider Identifier
1114454287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOVINGER, KIM, & KHZOUZ DENTAL CORPORATION
Doing business as
Golden Age Dental Care
Practice address
701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201
Phone
(714) 992-2999
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas Aaron Lovinger, DA
Title
Owner
Phone
(847) 778-9527

Specialties & licenses 1

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

Addresses

Primary practice location

701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201

Mailing address

701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201
Phone (714) 992-2999

Other names 1

  • Golden Age Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

701 S Raymond Ave
Ste 4B
Fullerton, CA 92831
Phone (714) 732-8470

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114454287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S RAYMOND AVE STE 4B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315201",
            "telephone_number": "714-992-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S RAYMOND AVE STE 4B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315201",
            "telephone_number": "714-992-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVINGER, KIM, & KHZOUZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOVINGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-778-9527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.