Bock J. Kim, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48728 Issued in CA

Legal business name

BOCK J. KIM, DDS, INC.

Practice address

6501 Eastern Ave Ste B
Bell Gardens, CA 90201-3003

Phone

(323) 773-2082

Fax

(323) 560-3905

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bock Jung Kim, DDS

Title

President

Phone

(323) 773-2082

Specialties & licenses 1

Addresses

Other names 1

• Grace Dentistry Doing business as

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1376858175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 EASTERN AVE STE B",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-2082",
            "fax_number": "323-560-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 EASTERN AVE STE B",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-2082",
            "fax_number": "323-560-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCK J. KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BOCK",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-773-2082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Azul Medical Clinic Inc
• Salvador M Baez, M.D.
• Bell Gardens Manor
• Teresa Irma Bertao, FNP
• Beverly Garden Medical Group, Inc.
• Katherine Rachel Brouwer
• Ginille Jasmin Lazaro Brown, NP
• Rory L. Butler, PA
• Francisco Cacho
• Care Dental Office

• General Practice Dentistry in Bell Gardens, CA
• Providers in Bell Gardens, 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 17, 2010; 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.