Kim, Kim, Nguyen DDS Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

B42748 Issued in CA

Legal business name

KIM, KIM, NGUYEN DDS DENTAL CORPORATION

Practice address

39755 Murrieta Hot Springs Rd Ste E110
Murrieta, CA 92563-9114

Phone

(951) 461-6622

Fax

(951) 461-6790

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Quy N Kim

Title

Owner

Phone

(951) 461-6622

Specialties & licenses 1

Addresses

Other names 1

• Murrieta Children's Dentistry Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1124119797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD STE E110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639114",
            "telephone_number": "951-461-6622",
            "fax_number": "951-461-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD STE E110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639114",
            "telephone_number": "951-461-6622",
            "fax_number": "951-461-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM, KIM, NGUYEN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "QUY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-461-6622",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "B42748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murrieta Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kim
• Frances Kim, M.D.
• Hana Kim, MPT
• Jessica Kim, PHARM D
• Joann Kim
• Paul Sango Kim, RPH
• Tina Kim, OTR/L
• Donald Michael Kimes, D.O.
• Mayumi Kimura, LICSW
• Kind Soul Psychiatric Mental Health Nursing Practitioner Apc

• Pediatric Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.