Young Kim Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58389 Issued in CA

Legal business name

YOUNG KIM DENTAL CORP

Practice address

6859 Magnolia Ave Ste 2
Riverside, CA 92506-2866

Phone

(951) 682-0810

Fax

(844) 270-6451

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Young Kwun Kim, D.D.S.

Title

Ceo

Phone

(951) 660-2742

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gina Yeawon Kim, DDS

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1528802840
  NPD

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1164922134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 MAGNOLIA AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062866",
            "telephone_number": "951-682-0810",
            "fax_number": "844-270-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 MAGNOLIA AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062866",
            "telephone_number": "951-682-0810",
            "fax_number": "844-270-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG KWUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-660-2742",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannan Yosof, DO
• David Yossef
• You Are a Masterpiece Counseling Services
• Pauline Youlin-Bartlett, M.S.
• Dylan Youman
• Young Scholars for Academic Empowerment (TruEvolution, Inc.)
• Young Tigers Inc. (total care home health agency)
• Angelina Young
• Brittany Marie Young
• Cheyenne Young, MS

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.