NPIMap

Organization Active NPI

Wangpichit and Kim Professional Dental Corporation

  • Pediatric Dentistry
  • Artesia, CA
National Provider Identifier
1356537070
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
47921 Issued in CA
Legal business name
WANGPICHIT AND KIM PROFESSIONAL DENTAL CORPORATION
Doing business as
Kids Smile Pediatric Dentistry
Practice address
11700 South St
Suite 202
Artesia, CA 90701-6611
Phone
(562) 924-5437
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Dr. Iljoon Kim, D.M.D.NPI 1457429409
Title
Secretary
Phone
(562) 924-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 47921 CA Primary

Addresses

Primary practice location

11700 South St
Suite 202
Artesia, CA 90701-6611

Mailing address

11700 South St
Suite 202
Artesia, CA 90701-6611
Phone (562) 924-5437

Other names 1

  • Kids Smile Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11700 South St
Ste 202
Artesia, CA 90701
Phone (562) 924-5437

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1356537070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016611",
            "telephone_number": "562-924-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016611",
            "telephone_number": "562-924-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANGPICHIT AND KIM PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ILJOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "562-924-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Smile Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.