Johnathan Kim D.D.S. Dental Practice

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHNATHAN KIM D.D.S. DENTAL PRACTICE

Practice address

1895 Orange Tree LN Ste 101
Redlands, CA 92374-0112

Phone

(909) 793-5270

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Johnathan Hyun Kim, DDSNPI 1790356038

Title

Owner/President

Phone

(909) 279-8323

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnathan Hyun Kim, DDS

  • Dentist
  • Redlands, CA
  • NPI 1790356038
  NPD Authorized official
• Brandon Young Joon Kim, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1861178741
  NPD
• Pranee V Pooudomsak

  • Dentist
  • San Bernardino, CA
  • NPI 1750687984
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1184335754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DONOVAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203882",
            "telephone_number": "909-279-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ORANGE TREE LN STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740112",
            "telephone_number": "909-793-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24953 Paseo De Valencia Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534337",
            "country_code": "US",
            "telephone_number": "949-441-5617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNATHAN KIM D.D.S. DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-279-8323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn L Johlman, OTR/L
• John B. Slayback, M.D., Inc.
• John C Han DDS Inc
• John J. Cesario DDS., Inc.
• John T Williams
• Johnny Arruda MD, Inc.
• Lance Johns
• Andrea J. Johnson, PT
• Cameron J Johnson, M.D.
• Gregory B. Johnson, LMFT

• Dental Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.