Henna Kim Dental Corp.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

58338 Issued in CA

Legal business name

HENNA KIM DENTAL CORP.

Practice address

500 E Colorado St # 200
Glendale, CA 91205-1607

Phone

(949) 697-3232

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Henna Kim

Title

President/Orthodontist

Phone

(949) 697-3232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Henna Kim Reyes, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, CA
  • NPI 1801023734
  NPD

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1285168641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BARNETT RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324102",
            "telephone_number": "949-697-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COLORADO ST # 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051607",
            "telephone_number": "949-697-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNA KIM DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HENNA",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "949-697-3232",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hearts Hospice Care Inc
• Hemodialysis, Inc.
• Hemodialysis, Inc.
• Eli Edward Hendel, MD
• Tyler Jensen Hendry, D.D.S.
• Bryson T Hennington
• Arsine Echighian Henry, M.D.
• James Henry, M.D.
• Tamika Henry, M.D.
• Catherine Hensley

• Orthodontics and Dentofacial Orthopedics Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.