Eric Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102019 Issued in CA

Practice address

501 N Cornell Ave # 1
Fullerton, CA 92831-2744

Phone

(714) 992-0092

NPI assigned

Jul 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eric Kim DMD Corp

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1083319800
  NPD Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1376927855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE # 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-992-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE # 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-992-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Kim
• Dong Min Kim, OD
• Dylan Kim
• Eleanor S Kim, L.AC.
• Elizabeth Kim
• Erica Kim, CCC-SLP
• Esther Kim
• Eun-Chong Kim, MPT
• Eunhee Kim
• Eunice Kim

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, 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 Mar 27, 2023; 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.