NPIMap

Organization Active NPI

Soyeon Kim

Doing business as Kim's Dental Corporation

  • Public Health Dentistry
  • Santa Ana, CA
National Provider Identifier
1386054674
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
54627 Issued in CA
Legal business name
SOYEON KIM
Doing business as
Kim's Dental Corporation
Soyeon Kim D.D.S Inc
Practice address
2509 W McFadden Ave
Suite-E
Santa Ana, CA 92704-2747
Phone
(714) 835-8797
Fax
(714) 835-8798
NPI assigned
May 7, 2014
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Soyeon Kim, D.M.DNPI 1508290495
Title
Dentist/Owner
Phone
(714) 835-8797

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
Public Health Dentistry 1223D0001X 54627 CA Primary

Addresses

Primary practice location

2509 W McFadden Ave
Suite-E
Santa Ana, CA 92704-2747

Mailing address

2509 W McFadden Ave Ste E
Santa Ana, CA 92704-2747
Phone (714) 835-8797

Other names 2

  • Kim's Dental Corporation Doing business as
  • Soyeon Kim D.D.S Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2509 W McFadden Ave
Santa Ana, CA 92704
Phone (714) 835-8797

Practitioners & affiliated clinicians

Practitioners 3

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": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1386054674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W MCFADDEN AVE STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042747",
            "telephone_number": "714-835-8797",
            "fax_number": "714-835-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W MCFADDEN AVE",
            "address_2": "SUITE-E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042747",
            "telephone_number": "714-835-8797",
            "fax_number": "714-835-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOYEON KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOYEON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-835-8797",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "54627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim's Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soyeon Kim D.D.S Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.