Organization Active NPI

Yong and Kim Dental Corp.

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1417138181
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47591 Issued in CA
Legal business name
YONG AND KIM DENTAL CORP.
Practice address
101 E Lincoln Ave
Ste.100
Anaheim, CA 92805-3202
Phone
(714) 535-0192
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Richard Jung Yong, D.D.S.NPI 1194905117
Title
Ceo
Phone
(714) 535-0192

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47591 CA Primary

Addresses

Primary practice location

101 E Lincoln Ave
Ste.100
Anaheim, CA 92805-3202

Mailing address

101 E Lincoln Ave
Ste.100
Anaheim, CA 92805-3202
Phone (714) 535-0192

Other names 1

  • Yong & Kim Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

101 E Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 535-0192

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1417138181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LINCOLN AVE",
            "address_2": "STE.100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053202",
            "telephone_number": "714-535-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LINCOLN AVE",
            "address_2": "STE.100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053202",
            "telephone_number": "714-535-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG AND KIM DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-535-0192",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yong & Kim Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.