Active NPI
John Hyunyoung Kim, D.D.S.
- Dentist
- Irvine, CA
National Provider Identifier
1427367226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53915
- Practice address
- 19742 Macarthur Blvd
Suite 224
Irvine, CA 92612-2432 - Phone
- (949) 748-3722
- Fax
- (949) 502-8855
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53915 | CA | Primary |
| Dentist | 122300000X | 13547 | MD |
Addresses
Primary practice location
19742 Macarthur Blvd
Suite 224
Irvine, CA 92612-2432
Mailing address
19742 Macarthur Blvd
Suite 224
Irvine, CA 92612-2432
Phone (949) 748-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13547 | MD | MD | Clinical Social Worker |
| 53915 | CA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1427367226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19742 MACARTHUR BLVD",
"address_2": "SUITE 224",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122432",
"telephone_number": "949-748-3722",
"fax_number": "949-502-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19742 MACARTHUR BLVD",
"address_2": "SUITE 224",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122432",
"telephone_number": "949-748-3722",
"fax_number": "949-502-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "HYUNYOUNG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53915",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.