Kimmer E. Young D.D.S. Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIMMER E. YOUNG D.D.S. DENTAL CORPORATION

Practice address

2401 W Cleveland Ave
Madera, CA 93637-3608

Phone

(559) 673-4075

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Kimmer E Young

Title

Owner

Phone

(559) 673-4075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1306317755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W CLEVELAND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373608",
            "telephone_number": "559-970-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W CLEVELAND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373608",
            "telephone_number": "559-673-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMER E. YOUNG D.D.S. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KIMMER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-673-4075"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Grace Kim, LCSW
• Cherie Kim, PHARMD
• Jessie Hahn Kim, PHARM.D.
• Young H Kim, MD
• Alliecia Kimes
• Lindsay Diane Kinakin
• James Earl King Jr.
• Mallory King, PA-C
• Kings View
• Kings View

• Dental Clinic/Center in Madera, CA
• Providers in Madera, 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 Dec 13, 2018; 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.