Frank Hyoungkyu Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33945 Issued in CA

Practice address

3622 Center Ave
El Monte, CA 91731-2524

Phone

(626) 443-1000

Fax

(626) 443-1203

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1235284191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 CENTER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312524",
            "telephone_number": "626-443-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 CENTER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312524",
            "telephone_number": "626-443-1000",
            "fax_number": "626-443-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANK",
        "middle_name": "HYOUNGKYU",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penthea Khaw
• Emerald Khoo, DDS
• Andrew Robert Kilgust, M.S.
• Christine Hyewon Kim
• Dayae Kim
• Han Jin Kim, D.C, L.AC
• Michael Kim, MSW
• Perry H Kim, RPH
• Rachael Kim
• Samuel K Kim, MFT ASSOCIATE

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, 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 Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.