Kenneth W. Kim DDS, Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNETH W. KIM DDS, APC

Practice address

6160 Arlington Ave Ste D4
Riverside, CA 92504-1900

Phone

(951) 637-0013

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Won Kim, DDSNPI 1760155527

Title

President

Phone

(909) 248-5250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Won Kim, DDS

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1760155527
  NPD Authorized official

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1376210088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21056 MOUNTAIN GATE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070001",
            "telephone_number": "909-248-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE STE D4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041900",
            "telephone_number": "951-637-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. KIM DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-248-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kennedy
• Jasmine Marian Kennedy
• Mallory Adele Kennedy, O.D.
• Regina Kennedy, LMFT
• Kenneth C Browning, D.O., a Professional Corporation
• Daniel J Kenney
• Breanna Michelle Kennon-Lujan
• Jean Grey Labrador Kent, PMHNP-BC
• Evelyn Kenyua
• Anita Tara Keo

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.