Hyun W Kim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HYUN W KIM DDS INC

Practice address

25030 Alessandro Blvd Ste D
Moreno Valley, CA 92553-4383

Phone

(951) 924-0993

Fax

(951) 247-9693

NPI assigned

Jul 31, 2019

Last updated

May 26, 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

Hyun Woo KimNPI 1497930457

Title

President

Phone

(951) 924-0993

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hyun W Kim DDS Inc

  dba Dr. Kim's Dentistry

  • Dentist
  • Rowland Heights, CA
  • NPI 1154076875
  NPPES parent name

Practitioners 2

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.

• Hyun Woo Kim, DDS

  • Dentist
  • Moreno Valley, CA
  • NPI 1497930457
  NPD Authorized official
• Stephen Shun Yao Yang, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1588745319
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1295389815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 ALESSANDRO BLVD STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534383",
            "telephone_number": "951-924-0993",
            "fax_number": "951-247-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 ALESSANDRO BLVD STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534383",
            "telephone_number": "951-924-0993",
            "fax_number": "951-247-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN W KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-924-0993"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Huynh, DO
• Paul TH Huynh, DO
• Thu Kieu Nguyen Huynh, PHARM.D.
• Jay Hwang, MD
• Hyun J. Shin, (Towngate Family Dental)
• I-Thriv Wellness Anywhere
• Robert Richard Iannello, DDS
• Susan Lucille Ibarra
• Nizar Isa Ibrahim, M.D.
• Ie Cardiology Faculty Medical Associates

• Dental Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, 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 May 26, 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.