Active NPI
Chrisopher J. Kim, D.D.S., Inc.
Doing business as Sunnyvale-Santa Clara (SSC) Dental
- Dental Clinic/Center
- San Jose, CA
National Provider Identifier
1437371507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 43802
- Legal business name
- CHRISOPHER J. KIM, D.D.S., INC.
- Doing business as
- Sunnyvale-Santa Clara (SSC) Dental
- Practice address
- 2573 North First Street
San Jose, CA 95131 - Phone
- (408) 433-5522
- NPI assigned
- May 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher J Kim, DDS
- Title
- Owner
- Phone
- (408) 433-5522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 43802 | CA | Primary |
Addresses
Primary practice location
2573 North First Street
San Jose, CA 95131
Mailing address
2573 North First Street
San Jose, CA 95131
Phone (408) 433-5522
Other names 1
- Sunnyvale-Santa Clara (SSC) Dental
National Provider Directory
National Provider Directory- Tax ID family
- Christopher J Kim DDS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mountain View Dental Group
- Dentist
- Mountain View, CA
- NPI 1497183065
Locations
2573 N 1st St
San Jose, CA 95131
Phone (408) 433-5522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437371507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2573 NORTH FIRST STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95131",
"telephone_number": "408-433-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2573 NORTH FIRST STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95131",
"telephone_number": "408-433-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISOPHER J. KIM, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-433-5522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "43802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunnyvale-Santa Clara (SSC) Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.