Amy Kim DMD Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

AMY KIM DMD INC.

Doing business as

Eastvale Kids Dental Studio

Practice address

14252 Schleisman Rd Ste 102
Eastvale, CA 92880-4026

Phone

(951) 507-1073

Fax

(951) 507-1332

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Kim, DMDNPI 1780033399

Title

Owner Dentist

Phone

(909) 270-6602

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eastvale Kids Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Kim, D.M.D

  • Pediatric Dentistry
  • Hesperia, CA
  • NPI 1780033399
  NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1144026733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14252 SCHLEISMAN RD STE 102",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804026",
            "telephone_number": "951-507-1073",
            "fax_number": "951-507-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14252 SCHLEISMAN RD STE 102",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804026",
            "telephone_number": "951-507-1073",
            "fax_number": "951-507-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KIM DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-270-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "110739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastvale Kids Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Allen
• Allwise Care Companion Inc (Allwise Residential Home)
• Caryn Joyce Amadei
• Christopher Chuka Amakeze, RN
• Amir Ali Amir Aslani, DMD
• An Nguyen DMD Inc
• Marites Anonas, PHARMD
• Inas Anton
• Lovelyn Ugonma Anyanwu
• Vanessa Nicole Aparicio

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.