Organization Active NPI

Hyun W Kim DDS Inc

  • Dentist
  • Rowland Heights, CA
National Provider Identifier
1154076875
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HYUN W KIM DDS INC
Practice address
19250 Colima Rd
Rowland Heights, CA 91748-3004
Phone
(626) 810-2782
Fax
(626) 964-0842
NPI assigned
Feb 22, 2022
Organization subpart
Yes
Parent organization
HYUN W KIM DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Hyun Woo KimNPI 1497930457
Title
Owner
Phone
(626) 810-2782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

19250 Colima Rd
Rowland Heights, CA 91748-3004

Mailing address

19250 Colima Rd
Rowland Heights, CA 91748-3004
Phone (626) 810-2782

Other names 1

  • Dr. Kim's Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Hyun W Kim DDS Inc

Locations

19250 Colima Rd
Rowland Heights, CA 91748
Phone (626) 810-2782

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1154076875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483004",
            "telephone_number": "626-810-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483004",
            "telephone_number": "626-810-2782",
            "fax_number": "626-964-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN W KIM DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HYUN W KIM DDS INC",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-810-2782"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kim's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.