Active NPI
Doil Kim, DDS. MMSC.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
National Provider Identifier
1376703660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 54534
- Practice address
- 3663 W 6TH St Ste 207
Los Angeles, CA 90020-3048 - Phone
- (213) 383-2080
- Fax
- (213) 383-2082
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9602 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 54534 | CA | Primary |
Addresses
Primary practice location
3663 W 6TH St Ste 207
Los Angeles, CA 90020-3048
Mailing address
3663 W 6TH St Ste 207
Los Angeles, CA 90020-3048
Phone (213) 383-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9602 | MA | MD | Mental Health Counselor |
| 54534 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young H. Kim and Doil Kim DDS Inc | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Interoperability endpoints
- dokim@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Doil Kim DDS MMSc Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
- NPI 1740577873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1376703660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203048",
"telephone_number": "213-383-2080",
"fax_number": "213-383-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203048",
"telephone_number": "213-383-2080",
"fax_number": "213-383-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOIL",
"name_prefix": "Dr.",
"credential": "DDS. MMSC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "9602",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "54534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.