Organization Active NPI

Daniel K. Kim, DDS, Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1154585800
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35132 Issued in CA
Legal business name
DANIEL K. KIM, DDS, INC
Practice address
1959 E Lincoln Ave
Anaheim, CA 92805-4349
Phone
(714) 991-7007
Fax
(714) 991-7060
NPI assigned
Jul 11, 2008
Organization subpart
Yes
Parent organization
DANIEL K. KIM, DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Grace L Kim
Title
Practice Adminisrator
Phone
(714) 615-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 35132 CA Primary

Addresses

Primary practice location

1959 E Lincoln Ave
Anaheim, CA 92805-4349

Mailing address

1959 E Lincoln Ave
Anaheim, CA 92805-4349
Phone (714) 615-2875

Other names 1

  • LINCOLN FAMILY DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel K Kim DDS Inc3 organizations share this tax ID, including this one
Part of
Daniel K Kim DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1959 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 817-0500

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1154585800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054349",
            "telephone_number": "714-615-2875",
            "fax_number": "714-991-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054349",
            "telephone_number": "714-991-7007",
            "fax_number": "714-991-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL K. KIM, DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL K. KIM, DDS, INC",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISRATOR",
        "authorized_official_telephone_number": "714-615-2875"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN FAMILY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.