NPIMap

Organization Active NPI

Young Kim, DDS, Inc.

Doing business as Welcome Dentistry & Braces

  • Dentist
  • Costa Mesa, CA
National Provider Identifier
1184750119
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31939 Issued in CA
Legal business name
YOUNG KIM, DDS, INC.
Doing business as
Welcome Dentistry & Braces
Practice address
570 W. 19TH St.
Costa Mesa, CA 92627-2749
Phone
(949) 642-4222
Fax
(949) 642-4855
NPI assigned
Feb 26, 2007
Organization subpart
Yes
Parent organization
YOUNG KIM D.D.SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Young Kim, D.D.S.
Title
Dentist/Owner
Phone
(714) 772-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 31939 CA Primary

Addresses

Primary practice location

570 W. 19TH St.
Costa Mesa, CA 92627-2749

Mailing address

570 W. 19TH St.
Costa Mesa, CA 92627-2749
Phone (949) 642-4222

Other names 1

  • Welcome Dentistry & Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Young Kim Dental Group of Westmoreland Inc8 organizations share this tax ID, including this one
Part of
Young Kim Dental Group of Westmoreland Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

570 W 19th St
Costa Mesa, CA 92627
Phone (949) 642-4222

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1184750119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W. 19TH ST.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272749",
            "telephone_number": "949-642-4222",
            "fax_number": "949-642-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W. 19TH ST.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272749",
            "telephone_number": "949-642-4222",
            "fax_number": "949-642-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG KIM D.D.S",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-772-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Dentistry & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.