NPIMap

Organization Active NPI

Brian Songsu Kim

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1235346347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIAN SONGSU KIM
Practice address
100 W Columbus St Ste 200
Bakersfield, CA 93301-1200
Phone
(661) 325-9466
Fax
(661) 332-5070
NPI assigned
May 17, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brian Kim, D.M.D.NPI 1295868636
Title
Dentistowner
Phone
(661) 325-9466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 2

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

Practitioners 2

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

National Provider Directory

National Provider Directory
Tax ID family
Brian Songsu Kim (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

100 W Columbus St Ste 200
Bakersfield, CA 93301-1200

Mailing address

100 W Columbus St Ste 200
Bakersfield, CA 93301-1200
Phone (661) 325-9466

Other names 1

NPPES NPI Registry
  • HOMETOWN DENTAL CARE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235346347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COLUMBUS ST STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011200",
            "telephone_number": "661-325-9466",
            "fax_number": "661-332-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COLUMBUS ST STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011200",
            "telephone_number": "661-325-9466",
            "fax_number": "661-332-5070"
        }
    ],
    "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_title_or_position": "DENTISTOWNER",
        "authorized_official_telephone_number": "661-325-9466",
        "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 Bakersfield, 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.

Verify at the official NPI Registry.