B C Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36327 Issued in CA

Legal business name

B C KIM DDS INC

Doing business as

Hesperia Central Dental

Practice address

16922 Main St
Suite # F
Hesperia, CA 92345-7920

Phone

(760) 244-4844

Fax

(760) 244-5002

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By 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. Brian C Kim, D.D.S.

Title

Ceo

Phone

(760) 244-4844

Specialties & licenses 1

Addresses

Other names 1

• HESPERIA CENTRAL DENTAL Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346319084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16922 MAIN ST",
            "address_2": "SUITE # F",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457920",
            "telephone_number": "760-244-4844",
            "fax_number": "760-244-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16922 MAIN ST",
            "address_2": "SUITE # F",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457920",
            "telephone_number": "760-244-4844",
            "fax_number": "760-244-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B C KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-244-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HESPERIA CENTRAL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Awad, DPM
• Katherine Madai Ayala Rodriguez
• Alondra Marie Ayala
• Noel Ayala
• Shahzad Mohammed Azad, P.T
• Nicole Isabel Baca
• Teresa L Baddeley
• Nahiris Maria Bahamon, M.D
• Alexander Bahn
• Clarence Francine Bailey

• General Practice Dentistry in Hesperia, CA
• Providers in Hesperia, 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 22, 2020; 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.