Active NPI
Kim & Kims Dental Inc
- Dentist
- Corona, CA
National Provider Identifier
1174496772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- KIM & KIMS DENTAL INC
- Practice address
- 900 S Main St Ste 104
Corona, CA 92882-3401 - Phone
- (951) 496-9650
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyunguk Kim, DMD
- Title
- Dentist
- Phone
- (714) 864-8815
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
900 S Main St Ste 104
Corona, CA 92882-3401
Mailing address
900 S Main St Ste 104
Corona, CA 92882-3401
Phone (951) 496-9650
National Provider Directory
National Provider DirectoryLocations
900 S Main St
Ste 104
Corona, CA 92882
Phone (951) 278-3304
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Corona, CA
- NPI 1588318331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1174496772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S MAIN ST STE 104",
"city": "CORONA",
"state": "CA",
"postal_code": "928823401",
"telephone_number": "951-496-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S MAIN ST STE 104",
"city": "CORONA",
"state": "CA",
"postal_code": "928823401",
"telephone_number": "951-496-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM & KIMS DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYUNGUK",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "714-864-8815",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.