Organization Active NPI

Daeuk D Kim DDS, a Dental Corporation

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1144889734
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAEUK D KIM DDS, A DENTAL CORPORATION
Practice address
144 Waterfall LN
Brea, CA 92821-4348
Phone
(714) 539-8275
NPI assigned
Jun 7, 2019
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Daeuk David Kim, DDSNPI 1356827737
Title
Ceo
Phone
(510) 926-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

144 Waterfall LN
Brea, CA 92821-4348

Mailing address

144 Waterfall LN
Brea, CA 92821-4348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1144889734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WATERFALL LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WATERFALL LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214348",
            "telephone_number": "714-539-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEUK D KIM DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAEUK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-926-9414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.