Active NPI
Christine Yim, DMD
- Dentist
- San Jose, CA
National Provider Identifier
1356502181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56853
- Practice address
- 818 Sevin Ter
San Jose, CA 95133-1599 - Phone
- (626) 241-6650
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56853 | CA | Primary |
Addresses
Primary practice location
818 Sevin Ter
San Jose, CA 95133-1599
Mailing address
17032 New Pine Dr
Hacienda Heights, CA 91745-5743
Phone (626) 241-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56853 | CA | MD | Dentist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1356502181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17032 NEW PINE DR",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917455743",
"telephone_number": "626-241-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SEVIN TER",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951331599",
"telephone_number": "626-241-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.