Organization Active NPI

Ventura Dental Care

  • Dentist
  • Ventura, CA
National Provider Identifier
1295920833
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46397 Issued in CA
Legal business name
VENTURA DENTAL CARE
Practice address
5700 Ralston St Ste 306
Ventura, CA 93003-7876
Phone
(805) 644-5284
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Sharon S Kim, DDS
Title
President
Phone
(805) 644-5284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46397 CA Primary

Addresses

Primary practice location

5700 Ralston St Ste 306
Ventura, CA 93003-7876

Mailing address

5700 Ralston St Ste 306
Ventura, CA 93003-7876
Phone (805) 644-5284

National Provider Directory

National Provider Directory

Locations

5700 Ralston St
Ste 306
Ventura, CA 93003
Phone (805) 644-5284

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1295920833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 RALSTON ST STE 306",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037876",
            "telephone_number": "805-644-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 RALSTON ST STE 306",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037876",
            "telephone_number": "805-644-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-644-5284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.