NPIMap

Organization Active NPI

Young Kim, DDS, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1376813857
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31939 Issued in CA
Legal business name
YOUNG KIM, DDS, INC.
Practice address
1014 N Vermont Ave
Los Angeles, CA 90029-2620
Phone
(323) 664-3400
Fax
(323) 664-3404
NPI assigned
Dec 30, 2011
Organization subpart
Yes
Parent organization
YOUNG KIM, DDS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Young Kim, D.D.S
Title
Dentist
Phone
(714) 772-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31939 CA Primary

Addresses

Primary practice location

1014 N Vermont Ave
Los Angeles, CA 90029-2620

Mailing address

1721 W Katella Ave
Suite #a
Anaheim, CA 92804-6100
Phone (714) 772-5656

Other names 1

  • Welcome Dentistry & Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Young Kim Dental Group of Westmoreland Inc8 organizations share this tax ID, including this one
Part of
Young Kim Dental Group of Westmoreland Inc

Other organizations with this tax ID 7

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

Locations

1014 N Vermont Ave
Los Angeles, CA 90029
Phone (213) 284-3115

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1376813857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W KATELLA AVE",
            "address_2": "SUITE #A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046100",
            "telephone_number": "714-772-5656",
            "fax_number": "714-772-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-664-3400",
            "fax_number": "323-664-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG KIM, DDS, INC.",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-772-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Dentistry & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 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.

Verify at the official NPI Registry.