Sean Kim, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

102689 Issued in CA

Legal business name

SEAN KIM, DDS, INC.

Practice address

1213 N Lake Ave
Pasadena, CA 91104-3768

Phone

(626) 584-1800

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sean Sunyoto, DDS

Title

Dentist

Phone

(626) 510-2606

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jaehun Cho

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1245845825
  NPD (past)
• Rodney K. Jones, DDS

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1427059047
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1306323035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CRENSHAW BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043768",
            "telephone_number": "626-584-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "SUNYOTO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-510-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "102689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Scott
• Elizabeth Scriven
• Samuel Ashton Scudder Sr.
• Sda Home Health Care Services
• Emma Seaman, AMFT
• Lisa A Sears, P.T.
• Danielle Seckler
• Osama Sedam
• See Clear Optometry a Professional Corporation
• Mae Ana Sefami, LCSW

• Dental Clinic/Center in Pasadena, CA
• Providers in Pasadena, 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 Jul 25, 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.