Active NPI
Brian Songsu Kim
Doing business as Hometown Dental Care
- General Practice Dentistry
- Delano, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRIAN SONGSU KIM
- Doing business as
- Hometown Dental Care
- Practice address
- 1406 Jefferson St
Delano, CA 93215-2222 - Phone
- (661) 725-9430
- Fax
- (661) 725-7221
- NPI assigned
- May 17, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Songsu Kim, D.M.D.
- Title
- Dentistowner
- Phone
- (661) 725-9430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1406 Jefferson St
Delano, CA 93215-2222
Mailing address
1406 Jefferson St
Delano, CA 93215-2222
Phone (661) 725-9430
Other names 1
- HOMETOWN DENTAL CARE
National Provider Directory
National Provider Directory- Tax ID family
- Brian Songsu Kim
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Delano, CA
- NPI 1295868636
-
- General Practice Dentistry
- Delano, CA
- NPI 1730212952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205043395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 JEFFERSON ST",
"city": "DELANO",
"state": "CA",
"postal_code": "932152222",
"telephone_number": "661-725-9430",
"fax_number": "661-725-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 JEFFERSON ST",
"city": "DELANO",
"state": "CA",
"postal_code": "932152222",
"telephone_number": "661-725-9430",
"fax_number": "661-725-7221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN SONGSU KIM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SONGSU",
"authorized_official_title_or_position": "DENTISTOWNER",
"authorized_official_telephone_number": "661-725-9430",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HOMETOWN DENTAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Delano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.