Kimberlin Alyssa Low, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

104072 Issued in CA

Practice address

2258 Foothill Blvd Ste 800
La Canada, CA 91011-1474

Phone

(818) 236-3636

NPI assigned

May 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1306582903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 800",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 800",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111474",
            "telephone_number": "818-236-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "KIMBERLIN",
        "middle_name": "ALYSSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104072",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Hyun Lim, D.M.D
• Vicky W Ling, PHARMD
• Gregory Lizer, MD
• Jessica Rose Lopez, MS, BCBA
• Charles C. Low, D.D.S.
• Naomi Cherise Low, DDS
• Rose Ellen Lozano, MARRIAGE AND FAMILY
• Sarena Lu, PT, DPT
• Erin Henschen Lynch, PSY.D.
• John James Lytle, M.D., D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in La Canada, CA
• Providers in La Canada, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.