Louis Kim DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53231 Issued in CA

Legal business name

LOUIS KIM DDS INC.

Practice address

4730 47TH Ave
Sacramento, CA 95824-3959

Phone

(916) 391-0682

Fax

(916) 391-7059

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Louis Min Keun Kim, DDS

Title

President

Phone

(916) 391-0682

Specialties & licenses 1

Addresses

Other names 1

• Elder Creek Dental Group Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Louis M Kim, a Professional Dental Corporation

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1104336478
  NPPES parent name

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1174761522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 47TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243959",
            "telephone_number": "916-391-0682",
            "fax_number": "916-391-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 47TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243959",
            "telephone_number": "916-391-0682",
            "fax_number": "916-391-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS KIM DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MIN KEUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-391-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Creek Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Louie, M.D.
• Tracy Doreen Louie, O.D.
• Yuriko Louie
• Louis Gallia MD Medical Corp
• Louis H Nicolaus Optical Company
• Louis M Kim, a Professional Dental Corporation
• Marian Louis, MD
• Jonathan Louissaint
• Elisa Louizos, LCSW
• Efstathia Loukenas

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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 Jan 22, 2009; 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.