Organization Active NPI

Joo B. Yim, DDS, Inc

Doing business as Happy Smile Dental Group

  • Dentist
  • Northridge, CA
National Provider Identifier
1144749722
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50779 Issued in CA
Legal business name
JOO B. YIM, DDS, INC
Doing business as
Happy Smile Dental Group
Practice address
10178 Reseda Blvd
Northridge, CA 91324-1487
Phone
(818) 775-1200
Fax
(818) 775-5789
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Dr. Joo Bin Yim, DDS
Title
Ceo
Phone
(818) 775-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50779 CA Primary

Addresses

Primary practice location

10178 Reseda Blvd
Northridge, CA 91324-1487

Mailing address

10178 Reseda Blvd
Northridge, CA 91324-1487
Phone (818) 775-1200

Other names 1

  • Happy Smile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

10178 Reseda Blvd
Northridge, CA 91324
Phone (818) 775-1200

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1144749722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10178 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241487",
            "telephone_number": "818-775-1200",
            "fax_number": "818-775-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10178 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241487",
            "telephone_number": "818-775-1200",
            "fax_number": "818-775-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOO B. YIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "JOO BIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-775-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Happy Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.