Insoo Kim DDS Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

30377 Issued in CA

Legal business name

INSOO KIM DDS INC

Doing business as

beautiful smile dental care

Practice address

4600 Beach Blvd
Buena Park, CA 90621-1132

Phone

(714) 522-5565

Fax

(714) 522-5758

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Insoo Kim, DDSNPI 1104094580

Title

Presidnt

Phone

(714) 522-5565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• beautiful smile dental care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Insoo Kim, DDS

  • Dentist
  • Buena Park, CA
  • NPI 1104094580
  Authorized official Same address or phone

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1457891327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211132",
            "telephone_number": "714-522-5565",
            "fax_number": "714-522-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211132",
            "telephone_number": "714-522-5565",
            "fax_number": "714-522-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSOO KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "INSOO",
        "authorized_official_title_or_position": "PRESIDNT",
        "authorized_official_telephone_number": "714-522-5565",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "30377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1104094580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "beautiful smile dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Imanaka
• Inhwa Acupuncturist,Inc
• Innovation Physical Therapy and Rehab Center, Inc.
• Innovative Behavior Interventions
• Innovative Research Consulting LLC (Southbay Pharma Research)
• Integna Home Health, LLC.
• Integrated Community Healthcare Solutions (Buena Park Community Clinic - BP)
• Intergrated Community Healthcare Solutions (Ichs)
• Vebronia Iskander
• Angel Gabriel Castillo Israel, NURSE PRACTITIONER

• Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.