Organization Active NPI

Kim Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vista, CA
National Provider Identifier
1376279430
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KIM ORTHODONTICS
Practice address
320 Sycamore Ave Ste 60
Vista, CA 92083-7797
Phone
(919) 601-0564
NPI assigned
Jul 29, 2022
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Dr. Chai Yoon Kim, DDS, MSDNPI 1194379180
Title
Orthodontist
Phone
(919) 601-0564

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

320 Sycamore Ave Ste 60
Vista, CA 92083-7797

Mailing address

2850 El Cerro CT Apt 317
Carlsbad, CA 92010-6715

National Provider Directory

National Provider Directory

Locations

320 Sycamore Ave
Ste 60
Vista, CA 92083
Phone (760) 945-6043

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1376279430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 EL CERRO CT APT 317",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SYCAMORE AVE STE 60",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837797",
            "telephone_number": "919-601-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHAI YOON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "919-601-0564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.