Active NPI
Hye Young Ahn Kim, D.D.S.
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1356513683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46163
- Practice address
- 3530 Atlantic Ave
Ste. 103
Long Beach, CA 90807-4569 - Phone
- (562) 988-2700
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46163 | CA | Primary |
Addresses
Primary practice location
3530 Atlantic Ave
Ste. 103
Long Beach, CA 90807-4569
Mailing address
3530 Atlantic Ave
Ste. 103
Long Beach, CA 90807-4569
Phone (562) 988-2700
Other names 1
- Hye Young Ahn
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 |
|---|---|---|---|
| 46163 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soleimani Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1356513683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 ATLANTIC AVE",
"address_2": "STE. 103",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074569",
"telephone_number": "562-988-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 ATLANTIC AVE",
"address_2": "STE. 103",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074569",
"telephone_number": "562-988-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYE",
"middle_name": "YOUNG AHN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYE",
"last_name": "AHN",
"middle_name": "YOUNG",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.