Active NPI
Namgu Kim DMD Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- NAMGU KIM DMD INC
- Practice address
- 3033 Wilshire Blvd Apt 907
Los Angeles, CA 90010-1008 - Phone
- (503) 686-4289
- NPI assigned
- Nov 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Namgu Kim
- Title
- Ceo
- Phone
- (503) 686-4289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
3033 Wilshire Blvd Apt 907
Los Angeles, CA 90010-1008
Mailing address
3033 Wilshire Blvd Apt 907
Los Angeles, CA 90010-1008
Phone (503) 686-4289
Other practice location 1
7128 Pacific Blvd Ste B
Huntington Park, CA 90255-4776
Phone (503) 686-4289
National Provider Directory
National Provider Directory- Tax ID family
- Namgu Kim DMD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Covina, CA
- NPI 1235002510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Artesia, CA
- NPI 1821588039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1316711245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 WILSHIRE BLVD APT 907",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101008",
"telephone_number": "503-686-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 WILSHIRE BLVD APT 907",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101008",
"telephone_number": "503-686-4289"
}
],
"practiceLocations": [
{
"address_1": "7128 Pacific Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902554776",
"country_code": "US",
"telephone_number": "503-686-4289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NAMGU KIM DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "NAMGU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-686-4289"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.