Kimball Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47494 Issued in CA

Legal business name

KIMBALL DENTAL CORPORATION

Practice address

522 N Magnolia Ave
Anaheim, CA 92801-4937

Phone

(714) 828-1415

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Charles Kimball, D.D.S.

Title

President/C.E.O.

Phone

(310) 619-1100

Specialties & licenses 1

Addresses

Other names 1

• CHARLES KIMBALL DDS, FAMILY DENTISTRY Doing business as

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1235451949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014937",
            "telephone_number": "714-828-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "310-619-1100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES KIMBALL DDS, FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yonghwan Kim, D.D.S
• Young Kim, DDS
• Young Chul Kim, MD
• Yung Tae Kim, MD
• Yurim Kim
• Charles Kimball, D.D.S.
• Kimberly N. Pham. DMD. Inc.
• Edward L Kimmel, OD
• Kincaid Senior Living Inc.
• Kind Heart Hospice and Palliative Care Incorporated

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Feb 22, 2010; 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.