A Kim DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

A KIM DMD INC

Practice address

23884 Copper Hill Dr
Valencia, CA 91354-1701

Phone

(661) 702-9595

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahreum Kim

Title

Doctor

Phone

(661) 702-9295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1245809193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23884 COPPER HILL DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "661-702-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23884 COPPER HILL DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "661-702-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KIM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "AHREUM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "661-702-9295"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Valencia, CA
• Providers in Valencia, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.