Min Jeong Katherine Kim D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIN JEONG KATHERINE KIM D.D.S., INC

Practice address

1077 Brighton PL
Mountain View, CA 94040-2204

Phone

(617) 331-5360

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Min Jeong Kim, DDSNPI 1336746676

Title

Ceo

Phone

(617) 331-5360

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Jeong Kim, DDS

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1336746676
  NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1144046566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BRIGHTON PL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402204",
            "telephone_number": "617-331-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BRIGHTON PL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402204",
            "telephone_number": "617-331-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN JEONG KATHERINE KIM D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN JEONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-331-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Miller, PT
• Timothy John Miller, D.D.S.
• Brian Charles Mills, DMD
• Saundra A Mills, M.D
• Jalen Milrad
• Mind & Body Wellness Center Inc
• Mind-Body Care, Inc.
• Lauren Jenelle Mindel, DPT
• Mindstrong Health Services, PC
• Francisca Minor

• General Practice Dentistry in Mountain View, CA
• Providers in Mountain View, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.