NPIMap

Organization Active NPI

Rick T Kim DDS Inc.

  • General Practice Dentistry
  • Bellflower, CA
National Provider Identifier
1366636607
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48622 Issued in CA
Legal business name
RICK T KIM DDS INC.
Practice address
10106 Alondra Blvd Unit a
Bellflower, CA 90706-3904
Phone
(562) 867-5117
Fax
(562) 867-8343
NPI assigned
Aug 29, 2007
Organization subpart
Yes
Parent organization
CALIFORNIA DENTAL GROUP OF BELLFLOWERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Rick T Kim, DDS
Title
Ceo
Phone
(562) 867-5117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48622 CA Primary

Addresses

Primary practice location

10106 Alondra Blvd Unit a
Bellflower, CA 90706-3904

Mailing address

10106 Alondra Blvd Unit a
Bellflower, CA 90706-3904
Phone (562) 867-5117

National Provider Directory

National Provider Directory
Tax ID family
Rick T Kim DDS Inc8 organizations share this tax ID, including this one
Part of
Rick T Kim DDS Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10106 Alondra Blvd
#A
Bellflower, CA 90706
Phone (562) 867-5117

Practitioners & affiliated clinicians

Practitioners 1

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1366636607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 ALONDRA BLVD UNIT A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063904",
            "telephone_number": "562-867-5117",
            "fax_number": "562-867-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 ALONDRA BLVD UNIT A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063904",
            "telephone_number": "562-867-5117",
            "fax_number": "562-867-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T KIM DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA DENTAL GROUP OF BELLFLOWER",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-867-5117",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.