NPIMap

Organization Active NPI

Rick T Kim DDS Inc

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1134577604
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48622 Issued in CA
Legal business name
RICK T KIM DDS INC
Practice address
126 W B St
Ontario, CA 91762-3503
Phone
(909) 984-4746
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Rick Kim
Title
Ceo
Phone
(909) 984-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48622 CA Primary

Addresses

Primary practice location

126 W B St
Ontario, CA 91762-3503

Mailing address

126 W B St
Ontario, CA 91762-3503
Phone (909) 984-4746

National Provider Directory

National Provider Directory
Tax ID family
Rick T Kim DDS Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1134577604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W B ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623503",
            "telephone_number": "909-984-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W B ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623503",
            "telephone_number": "909-984-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-984-4746"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.