Min-Jeong Kim DDS Ms Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MIN-JEONG KIM DDS MS INC

Practice address

5 Santa Maria Way
Orinda, CA 94563-2604

Phone

(925) 254-2133

NPI assigned

May 31, 2023

Last updated

May 31, 2023By 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. Min-Jeong Kim, DDSNPI 1447949656

Title

President

Phone

(415) 244-1722

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Min-Jeong Kim, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orinda, CA
  • NPI 1447949656
  NPD Authorized official
• John E Ogro, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orinda, CA
  • NPI 1912031121
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1144913559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BELLEVUE AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SANTA MARIA WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632604",
            "telephone_number": "925-254-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN-JEONG KIM DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN-JEONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-244-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin J Huie M D Inc
• Jeanne Elise Menary, ED.D
• Marites Milan
• Hannah Maryellen Miller, AMFT
• Mary Lynn Miller, M.D.
• Seyed Hadi Mirhedayati Roudsari, MD
• Nida Mirza, PSYD
• Tanya Mitchnick, DC
• Mojgan Mehranfard, DDS, Inc. (Orinda Dental Care)
• Laura Mooney, MSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Orinda, CA
• Providers in Orinda, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.