Isaac Im, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62980 Issued in CA

Practice address

14285 7TH St
Victorville, CA 92395-4207

Phone

(760) 388-5080

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian & Larina Chu DDS Inc

  • Pediatric Dentistry
  • Victorville, CA
  • NPI 1447650296
  NPD (past)
• Brian Chu, D.D.S., Inc.

  • Pediatric Dentistry
  • Victorville, CA
  • NPI 1689007460
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1235568874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26061 LAWTON AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543836",
            "telephone_number": "626-476-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954207",
            "telephone_number": "760-388-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Ibarra, PA
• Tony Ibrahim
• Iehp Health Access
• Ignite Emergency Physicians a Medical Corporation
• Chukwuma Igwe
• Imhotep, Inc.
• Imperial Physical Therapy P C
• Inc of Shahgaldian Dental
• Industrial Medical Services & Urgent Care Incorporation
• Industrial Medical Services & Urgent Care Incorporation

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, 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 Sep 8, 2016; 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.