Ji Hyun Kim Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54163 Issued in CA

Legal business name

JI HYUN KIM DENTAL CORP.

Practice address

1404 N Ben Maddox Way
Visalia, CA 93292-2246

Phone

(213) 210-4908

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jihyun Kim, DDSNPI 1366592842

Title

President

Phone

(213) 210-4908

Specialties & licenses 1

Addresses

Other names 1

• Ben Maddox Family Dental 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.

• Ji-Hyun Kim, DDS

  • General Practice Dentistry
  • Visalia, CA
  • NPI 1366592842
  NPD Authorized official

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1174848923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N BEN MADDOX WAY",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922246",
            "telephone_number": "213-210-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N BEN MADDOX WAY",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922246",
            "telephone_number": "213-210-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JI HYUN KIM DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-210-4908",
        "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": "54163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ben Maddox Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi D. Jessee, M.A., CCC-SLP
• Bernard Lagelle Jeter Sr., D.D.S.
• Jason L Jeter, DDS
• Mary Colette Jewell, OT
• Nitya Neerav Jhaveri
• Yan Jiang, FNP
• Karla Ivette Jimenez Mata, MS
• Gabriel Jimenez
• Juan Ramon Jimenez, PHARMD
• Julie Jimenez

• General Practice Dentistry in Visalia, CA
• Providers in Visalia, 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 Aug 12, 2021; 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.