Hyun J Kim Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54986 Issued in CA

Legal business name

HYUN J KIM DENTAL CORPORATION

Practice address

580 G St
Brawley, CA 92227-2411

Phone

(760) 344-1613

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Hyun June Kim, DDS

Title

C.E.O. / Owner Dentist

Phone

(760) 344-1613

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.

• Hyun June Kim, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1760797815
  NPD
• Ronald C. Stillman, D.D.S.

  • General Practice Dentistry
  • Brawley, CA
  • NPI 1144355942
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164949798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-344-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-344-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN J KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "C.E.O. / OWNER DENTIST",
        "authorized_official_telephone_number": "760-344-1613",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brawley, CA
• Providers in Brawley, 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 Jul 21, 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.