Joseph J. Kim, DDS, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JOSEPH J. KIM, DDS, INC.

Practice address

72415 Parkview Dr
Palm Desert, CA 92260-2779

Phone

(760) 568-5928

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By 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

Joseph KimNPI 1154962884

Title

President

Phone

(909) 430-1973

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, and the practitioner matching its NPPES authorized official.

• Joseph J. Kim

  • Periodontics
  • Palm Desert, CA
  • NPI 1154962884
  NPD (past) Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1144882978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35948 MICHELLE LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231649",
            "telephone_number": "909-430-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72415 PARKVIEW DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602779",
            "telephone_number": "760-568-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-430-1973"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.