William Kim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WILLIAM KIM DDS INC

Doing business as

Redefine Dentistry

Practice address

12204 Artesia Blvd
Artesia, CA 90701-4345

Phone

(909) 525-3883

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By 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

William Woo Kyeom Kim, DDSNPI 1285206227

Title

Dentist/ Owner

Phone

(909) 525-3883

Specialties & licenses 1

Addresses

Other names 1

• Redefine Dentistry Doing business as

Locations

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.

• William Woo Kyeom Kim, DDS

  • Dentist
  • Indio, CA
  • NPI 1285206227
  NPD Authorized official

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1164146486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SUNSET PL",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654558",
            "telephone_number": "909-525-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014345",
            "telephone_number": "909-525-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WOO KYEOM",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "909-525-3883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redefine Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene Weismantel
• Welcome Pharmacy Inc (Welcome Pharmacy)
• Wellness Check LLC (Bioanalysis Diagnostic Laboratories)
• Patrick Albert Weston
• Vijitha Kumari Wijegunawardene, BA
• Anthony B Williams
• Gina L. Wilvang, D.P.M.
• Windsor Twin Palms Healthcare Center, LLC (Windsor Palms Care Center of Artesia)
• Stanley Wayne Winters
• Kate Aileen Wofford, LMFT

• Dental Clinic/Center in Artesia, CA
• Providers in Artesia, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.