Kenneth H Kim,DDS, a Professional Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53892 Issued in CA

Legal business name

KENNETH H KIM,DDS, A PROFESSIONAL CORP.

Practice address

2723 N Bristol St
Suite #D-2
Santa Ana, CA 92706-1419

Phone

(714) 550-0006

Fax

(714) 550-0007

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Hyon Mo Kim, DDSNPI 1861608671

Title

President

Phone

(714) 550-0006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth Hyon Mo Kim, DDS

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1861608671
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1184829830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 N BRISTOL ST",
            "address_2": "SUITE #D-2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061419",
            "telephone_number": "714-550-0006",
            "fax_number": "714-550-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 N BRISTOL ST",
            "address_2": "SUITE #D-2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061419",
            "telephone_number": "714-550-0006",
            "fax_number": "714-550-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H KIM,DDS, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HYON MO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-550-0006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon H. Kendall, OD
• Meghan Kenly, MA
• Lea Mouchet Kennedy, LPCC21647
• Ryan Patrick Kennedy, M.S.
• Sarah Justine Kennedy, LCSW
• Kenneth Johnson, MD, Apc
• Kenneth L. Nudleman, M.D., Inc.
• Scott Wesley Kennifer
• Noemi D Kenny
• Geoffrey Ku Kenyota, MD

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 10, 2007; 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.