Jason Kim DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

58856 Issued in CA

Legal business name

JASON KIM DDS, INC

Practice address

2220 Smokewood Ave
Fullerton, CA 92831-1107

Phone

(714) 853-5086

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Kim, DDSNPI 1629302138

Title

President

Phone

(714) 853-5086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Kim, DDS

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1629302138
  NPD (past) Authorized official

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1184166498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SMOKEWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SMOKEWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311107",
            "telephone_number": "714-853-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON KIM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-853-5086",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Jaramillo, MA, ATC
• Darlene Marie Jarnat, MFT TRAINEE
• Abigail Jarnigan, LVN
• Kelli Jarzomb, OTR/L
• Jaseng Alternative Health Corporation
• Jason Sabet-Peyman, M.D., Inc.
• Lauren Elizabeth Jasso
• Edith Jauregui Vargas
• Maica De Vera Javien, NP-C
• David Jawor, D.D.S.

• Dentist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.