Rick T Kim a Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48622 Issued in CA

Legal business name

RICK T KIM A PROFESSIONAL DENTAL CORP

Practice address

21012 Norwalk Blvd
Lakewood, CA 90715-1503

Phone

(562) 860-8828

Fax

(562) 860-0444

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Rick T Kim, DDSNPI 1124156427

Title

Ceo

Phone

(562) 860-8828

Specialties & licenses 1

Addresses

Other names 1

• new smile dental care Doing business as

Locations

Practitioners 2

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

• Rick Tae Kim, DDS

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1124156427
  NPD (past) Authorized official
• Haejean Lee, DDS

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1497875041
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1457548182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21012 NORWALK BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151503",
            "telephone_number": "562-860-8828",
            "fax_number": "562-860-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21012 NORWALK BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151503",
            "telephone_number": "562-860-8828",
            "fax_number": "562-860-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T KIM A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-860-8828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new smile dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caesar Augustus Ribeiro
• Passely Ricalde Sarmiento
• Richard a. Rosenberg DPM Inc.
• Eliane Richards
• Cristina G Richardson
• Art F. Ridderhof, D.C.
• Ender Riddle
• Right Choice Medical Supply Co.
• Jane T. Rikimaru, LMFT
• Evelyn Rivas

• General Practice Dentistry in Lakewood, CA
• Providers in Lakewood, 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 Sep 26, 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.