Kim and Watanabe Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM AND WATANABE DENTAL CORPORATION

Doing business as

My Kids Dentist Dental Group

Practice address

24635 Madison Ave
Ste. E
Murrieta, CA 92562-7556

Phone

(951) 600-1062

Fax

(951) 600-1476

NPI assigned

Sep 29, 2006

Last updated

Aug 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan K Watanabe, DDS

Title

Owner DDS

Phone

(951) 600-1062

Specialties & licenses 1

Addresses

Other names 1

• MY KIDS DENTIST DENTAL GROUP Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae H. Kwak, D.M.D.

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1033668355
  NPD (past)
• Lorraine Lau, DMD

  • Pediatric Dentistry
  • Murrieta, CA
  • NPI 1386269199
  NPD (past)
• Annaliese NG, DMD

  • Pediatric Dentistry
  • Murrieta, CA
  • NPI 1134813645
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1336231190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24635 MADISON AVE",
            "address_2": "STE. E",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627556",
            "telephone_number": "951-600-1062",
            "fax_number": "951-600-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND WATANABE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "951-600-1062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY KIDS DENTIST DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Kidder, LPCC
• Sandra Elena Kieler, LCSW
• Kiet Tran, DDS Inc.
• Samantha Kilbourne
• Noelle Kilian
• Alan Hwan Kim
• Candice Jinhee Kim, MD
• Dennis Yoochun Kim, M.D.
• Emily Kim
• Frances Kim, M.D.

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.