Heivi Min Ryung Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63356 Issued in CA

Practice address

5877 S Vermont Ave
Los Angeles, CA 90044-3741

Phone

(213) 718-0811

NPI assigned

May 7, 2014

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

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

Practice roles

Locations

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

• Heivi Kim Dental Corporation

  • Dental Clinic/Center
  • Huntington Park, CA
  • NPI 1982120721
  NPD Authorized official
• Heivi Kim Western DDS Inc

  • Pediatric Dentistry
  • Los Angeles, CA
  • NPI 1518823889
  NPD Authorized official
• Heivi Kim, DDS, Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1033584669
  NPD

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1295145548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443741",
            "telephone_number": "213-718-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443741",
            "telephone_number": "213-718-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 E Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555620",
            "country_code": "US",
            "telephone_number": "213-718-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEIVI",
        "middle_name": "MIN RYUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hee Chul Kim
• Hee Kyung Kim, OTD, OTR/L
• Heedong Kim
• Heesun Kim, PHARM.D
• Hei Paik Kim, MD
• Henry Seoung Hyun Kim, MD
• Heymee Lael Kim
• Heymi Kim
• Hijung Kelly Kim, L.AC.
• Ho Kim, L.AC

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.