Han and Kim Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAN AND KIM DENTAL CORP

Practice address

72724 29 Palms Hwy Ste 102
Twentynine Palms, CA 92277-2459

Phone

(760) 367-7645

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kwang Kee Han, DDSNPI 1255757522

Title

Ceo

Phone

(909) 379-9897

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kwang Kee Han, DDS

  • General Practice Dentistry
  • Twentynine Palms, CA
  • NPI 1255757522

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1366186181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33925 GOLDEN CROWN WAY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY STE 102",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772459",
            "telephone_number": "760-367-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN AND KIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "KWANG KEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-379-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.D.P.R.G., Inc
• Chrysanthy Ha, M.D.
• Beverly A. Hall, MSCCCSLP
• Joseph Luke Hamilton
• Susan E. Hammon, ANP
• Kwang Kee Han, DDS
• Daniel Wayne Hansen, M.D.
• Amy Hardy, RN
• Paul I Harris, PHYSICAL THERAPIST
• Nathan J. Hawkins, O.D.

• All providers in Twentynine Palms, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.