Kim & Kim DDS Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

42748 Issued in CA

Legal business name

KIM & KIM DDS DENTAL CORPORATION

Practice address

17220 Newhope St
Suite 201
Fountain Valley, CA 92708-4272

Phone

(714) 549-0911

Fax

(714) 549-9115

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Andrew Chun KimNPI 1073843660

Title

President

Phone

(714) 549-0911

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Andrew Chun Kim, DDS

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1073843660
  NPD (past) Authorized official

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1346579141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST",
            "address_2": "SUITE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084272",
            "telephone_number": "714-549-0911",
            "fax_number": "714-549-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST",
            "address_2": "SUITE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084272",
            "telephone_number": "714-549-0911",
            "fax_number": "714-549-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & KIM DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-549-0911"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42738",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kieu Orthodontics
• Calvin Kieu
• Chan Q. Kieu, M.D.
• Kevin Nam Kieu, D.D.S., M.S.
• Toquynh Dinh Kieu, M.D.
• Michael H. Kim-Orden, MD
• Abigail Kim, BT
• Andrew Chun Kim, DDS
• Chung Won Kim
• Ephraim Kim

• Pediatric Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.