Calvin H. Kim DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8725 Issued in WA

Legal business name

CALVIN H. KIM DDS PLLC

Doing business as

Chehalis Family Dental

Practice address

1299 Bishop Rd Ste B
Chehalis, WA 98532-8758

Phone

(360) 740-9999

Fax

(360) 740-9998

NPI assigned

Jun 24, 2015

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

OLYMPIA FAMILY DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Calvin H Kim, DDS

Title

Dentist/ Owner

Phone

(360) 740-9999

Specialties & licenses 1

Addresses

Other names 1

• Chehalis Family Dental Doing business as

Part of

Calvin H Kim DDS PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Olympia Family Dental

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1780066852
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John H Cho, DDS

  • Dentist
  • Chehalis, WA
  • NPI 1639449671
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1255713335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 BISHOP RD STE B",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328758",
            "telephone_number": "360-740-9999",
            "fax_number": "360-740-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BISHOP RD STE B",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328758",
            "telephone_number": "360-740-9999",
            "fax_number": "360-740-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN H. KIM DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLYMPIA FAMILY DENTAL",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "360-740-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chehalis Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Mae Byrd
• Rhonda Lynn Caines, LPN
• Julie Christine Calderon, ARNP
• Monte Shane Caldwell, RDH
• David F Calvert, MS, LMHC
• Roland Emmanuell Camps
• Jennifer Lynn Canaan, CDP
• Capital Oncology, PLLC
• Kaitlin Carlson, LMT
• Kimberly S Carlson, M.A.

• General Practice Dentistry in Chehalis, WA
• Providers in Chehalis, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.