Dong Jin Kim, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

45327 Issued in CA

Legal business name

DONG JIN KIM, DDS, INC

Doing business as

Pure Dental

Practice address

69420 Ramon Rd
Cathedral City, CA 92234-3349

Phone

(760) 202-1171

Fax

(760) 202-1170

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Tak Kim, DDS

Title

Owner

Phone

(760) 202-1171

Specialties & licenses 1

Addresses

Other names 1

• Pure Dental 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.

• Arvinder Singh Bir, M.D.

  • Family Medicine Physician
  • Rancho Mirage, CA
  • NPI 1487629564
  NPD (past)
• Dong Jin Kim, D.D.S.

  • General Practice Dentistry
  • Cathedral City, CA
  • NPI 1588875116
  NPD (past)
• Cynthia Tak, DDS

  • Dentist
  • Cathedral City, CA
  • NPI 1871901165
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1346658622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69420 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343349",
            "telephone_number": "760-202-1171",
            "fax_number": "760-202-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69420 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343349",
            "telephone_number": "760-202-1171",
            "fax_number": "760-202-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG JIN KIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-202-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deshon Doheny
• Lois Doi, LCSW
• Dolores Dialysis LLC (Cathedral City Dialysis)
• Dolores Homecare Inc
• Susan Esther Domenech, MPT
• Dr Kenneth R Gallion a Professional Dental Corp (Southwest Dental)
• Dr Ramsey Katan, O.D.
• Dr. Robert Ohrling, Inc.
• Dual Diagnosis Treatment Center, Inc. (Sovereign Health of California)
• Diane E. Ducatte

• Dental Clinic/Center in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.