Kwangrae Andrew Kim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48298 Issued in CA

Practice address

925 E Pennsylvania Ave Ste C
Escondido, CA 92025-3432

Phone

(760) 747-5295

NPI assigned

Jul 12, 2007

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

Other names 1

• K. Andrew Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1407055205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E PENNSYLVANIA AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253432",
            "telephone_number": "760-747-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E PENNSYLVANIA AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253432",
            "telephone_number": "760-747-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KWANGRAE",
        "middle_name": "ANDREW",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.",
            "last_name": "KIM",
            "middle_name": "ANDREW",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kids First Foundation
• Kids First Foundation
• Aaron J Kim, PHARM D
• Christopher Kim
• Hyeryung Kim
• Robert M Kim, DDS
• Uesin Kim
• Venice Kim
• Kimberly Rose Davis MD Inc Apmc
• Kelsie Alexandra Kinden, PSYD

• General Practice Dentistry in Escondido, CA
• Providers in Escondido, 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 Jul 12, 2007; 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.